S43.90XA

S43.90XA: Sprain of unspecified parts of unspecified shoulder girdle, initial encounter

Billable / specific codeICD-10-CMunspecified

S43.90XA is a billable, specific ICD-10-CM code for sprain of unspecified parts of unspecified shoulder girdle, initial encounter. It is valid for submission on a claim.

Check S43.90XA with the rest of the claim: free scrubber

7th character "A": initial encounter

The appropriate 7th character is to be added to each code from category S43

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Sprain of shoulder girdle NOS

Excludes2 inherited from the categories above S43.90XA

Not part of this code, but both may be coded when both are present.

Written on S43: Dislocation and sprain of joints and ligaments of shoulder girdle

strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.