S43.91XD

S43.91XD: Sprain of unspecified parts of right shoulder girdle, subsequent encounter

Billable / specific codeICD-10-CMPOA exemptright

S43.91XD is a billable, specific ICD-10-CM code for sprain of unspecified parts of right shoulder girdle, subsequent encounter. It is valid for submission on a claim.

Check S43.91XD with the rest of the claim: free scrubber

7th character "D": subsequent encounter

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

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S43.91XD

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.

Medicare coverage

S43.91XD is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.