October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

S23 Dislocation and sprain of joints and ligaments of thorax

All 108 codes in the S23 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

108

Can lead a claim

96

Cannot lead a claim

12

What CMS assigns to S23

96 of the 108 codes group to Musculoskeletal Rehabilitation; 12 are assigned no clinical group. None of the 108 is assigned a comorbidity subgroup. 96 of the 108 can lead a claim.

Every code in S23

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
S23.0 Traumatic rupture of thoracic intervertebral disc
S23.0XXATraumatic rupture of thoracic intervertebral disc, initial encounterCMS: Traumatic rupture of thoracic intervertebral disc, initCan lead a claimENone
S23.0XXDTraumatic rupture of thoracic intervertebral disc, subsequent encounterCMS: Traumatic rupture of thoracic intervertebral disc, subsCan lead a claimENone
S23.0XXSTraumatic rupture of thoracic intervertebral disc, sequelaCan lead a claimENone
S23.1 Subluxation and dislocation of thoracic vertebra
S23.10 Subluxation and dislocation of unspecified thoracic vertebra
S23.100 Subluxation of unspecified thoracic vertebra
S23.100ASubluxation of unspecified thoracic vertebra, initial encounterCMS: Subluxation of unspecified thoracic vertebra, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.100DSubluxation of unspecified thoracic vertebra, subsequent encounterCMS: Subluxation of unspecified thoracic vertebra, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.100SSubluxation of unspecified thoracic vertebra, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.101 Dislocation of unspecified thoracic vertebra
S23.101ADislocation of unspecified thoracic vertebra, initial encounterCMS: Dislocation of unspecified thoracic vertebra, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.101DDislocation of unspecified thoracic vertebra, subsequent encounterCMS: Dislocation of unspecified thoracic vertebra, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.101SDislocation of unspecified thoracic vertebra, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.11 Subluxation and dislocation of T1/T2 thoracic vertebra
S23.110 Subluxation of T1/T2 thoracic vertebra
S23.110ASubluxation of T1/T2 thoracic vertebra, initial encounterCan lead a claimENone
S23.110DSubluxation of T1/T2 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.110SSubluxation of T1/T2 thoracic vertebra, sequelaCan lead a claimENone
S23.111 Dislocation of T1/T2 thoracic vertebra
S23.111ADislocation of T1/T2 thoracic vertebra, initial encounterCan lead a claimENone
S23.111DDislocation of T1/T2 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.111SDislocation of T1/T2 thoracic vertebra, sequelaCan lead a claimENone
S23.12 Subluxation and dislocation of T2/T3-T3/T4 thoracic vertebra
S23.120 Subluxation of T2/T3 thoracic vertebra
S23.120ASubluxation of T2/T3 thoracic vertebra, initial encounterCan lead a claimENone
S23.120DSubluxation of T2/T3 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.120SSubluxation of T2/T3 thoracic vertebra, sequelaCan lead a claimENone
S23.121 Dislocation of T2/T3 thoracic vertebra
S23.121ADislocation of T2/T3 thoracic vertebra, initial encounterCan lead a claimENone
S23.121DDislocation of T2/T3 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.121SDislocation of T2/T3 thoracic vertebra, sequelaCan lead a claimENone
S23.122 Subluxation of T3/T4 thoracic vertebra
S23.122ASubluxation of T3/T4 thoracic vertebra, initial encounterCan lead a claimENone
S23.122DSubluxation of T3/T4 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.122SSubluxation of T3/T4 thoracic vertebra, sequelaCan lead a claimENone
S23.123 Dislocation of T3/T4 thoracic vertebra
S23.123ADislocation of T3/T4 thoracic vertebra, initial encounterCan lead a claimENone
S23.123DDislocation of T3/T4 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.123SDislocation of T3/T4 thoracic vertebra, sequelaCan lead a claimENone
S23.13 Subluxation and dislocation of T4/T5-T5/T6 thoracic vertebra
S23.130 Subluxation of T4/T5 thoracic vertebra
S23.130ASubluxation of T4/T5 thoracic vertebra, initial encounterCan lead a claimENone
S23.130DSubluxation of T4/T5 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.130SSubluxation of T4/T5 thoracic vertebra, sequelaCan lead a claimENone
S23.131 Dislocation of T4/T5 thoracic vertebra
S23.131ADislocation of T4/T5 thoracic vertebra, initial encounterCan lead a claimENone
S23.131DDislocation of T4/T5 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.131SDislocation of T4/T5 thoracic vertebra, sequelaCan lead a claimENone
S23.132 Subluxation of T5/T6 thoracic vertebra
S23.132ASubluxation of T5/T6 thoracic vertebra, initial encounterCan lead a claimENone
S23.132DSubluxation of T5/T6 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.132SSubluxation of T5/T6 thoracic vertebra, sequelaCan lead a claimENone
S23.133 Dislocation of T5/T6 thoracic vertebra
S23.133ADislocation of T5/T6 thoracic vertebra, initial encounterCan lead a claimENone
S23.133DDislocation of T5/T6 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.133SDislocation of T5/T6 thoracic vertebra, sequelaCan lead a claimENone
S23.14 Subluxation and dislocation of T6/T7-T7/T8 thoracic vertebra
S23.140 Subluxation of T6/T7 thoracic vertebra
S23.140ASubluxation of T6/T7 thoracic vertebra, initial encounterCan lead a claimENone
S23.140DSubluxation of T6/T7 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.140SSubluxation of T6/T7 thoracic vertebra, sequelaCan lead a claimENone
S23.141 Dislocation of T6/T7 thoracic vertebra
S23.141ADislocation of T6/T7 thoracic vertebra, initial encounterCan lead a claimENone
S23.141DDislocation of T6/T7 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.141SDislocation of T6/T7 thoracic vertebra, sequelaCan lead a claimENone
S23.142 Subluxation of T7/T8 thoracic vertebra
S23.142ASubluxation of T7/T8 thoracic vertebra, initial encounterCan lead a claimENone
S23.142DSubluxation of T7/T8 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.142SSubluxation of T7/T8 thoracic vertebra, sequelaCan lead a claimENone
S23.143 Dislocation of T7/T8 thoracic vertebra
S23.143ADislocation of T7/T8 thoracic vertebra, initial encounterCan lead a claimENone
S23.143DDislocation of T7/T8 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.143SDislocation of T7/T8 thoracic vertebra, sequelaCan lead a claimENone
S23.15 Subluxation and dislocation of T8/T9-T9/T10 thoracic vertebra
S23.150 Subluxation of T8/T9 thoracic vertebra
S23.150ASubluxation of T8/T9 thoracic vertebra, initial encounterCan lead a claimENone
S23.150DSubluxation of T8/T9 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.150SSubluxation of T8/T9 thoracic vertebra, sequelaCan lead a claimENone
S23.151 Dislocation of T8/T9 thoracic vertebra
S23.151ADislocation of T8/T9 thoracic vertebra, initial encounterCan lead a claimENone
S23.151DDislocation of T8/T9 thoracic vertebra, subsequent encounterCan lead a claimENone
S23.151SDislocation of T8/T9 thoracic vertebra, sequelaCan lead a claimENone
S23.152 Subluxation of T9/T10 thoracic vertebra
S23.152ASubluxation of T9/T10 thoracic vertebra, initial encounterCan lead a claimENone
S23.152DSubluxation of T9/T10 thoracic vertebra, subsequent encounterCMS: Subluxation of T9/T10 thoracic vertebra, subs encntrCan lead a claimENone
S23.152SSubluxation of T9/T10 thoracic vertebra, sequelaCan lead a claimENone
S23.153 Dislocation of T9/T10 thoracic vertebra
S23.153ADislocation of T9/T10 thoracic vertebra, initial encounterCan lead a claimENone
S23.153DDislocation of T9/T10 thoracic vertebra, subsequent encounterCMS: Dislocation of T9/T10 thoracic vertebra, subs encntrCan lead a claimENone
S23.153SDislocation of T9/T10 thoracic vertebra, sequelaCan lead a claimENone
S23.16 Subluxation and dislocation of T10/T11-T11/T12 thoracic vertebra
S23.160 Subluxation of T10/T11 thoracic vertebra
S23.160ASubluxation of T10/T11 thoracic vertebra, initial encounterCan lead a claimENone
S23.160DSubluxation of T10/T11 thoracic vertebra, subsequent encounterCMS: Subluxation of T10/T11 thoracic vertebra, subs encntrCan lead a claimENone
S23.160SSubluxation of T10/T11 thoracic vertebra, sequelaCan lead a claimENone
S23.161 Dislocation of T10/T11 thoracic vertebra
S23.161ADislocation of T10/T11 thoracic vertebra, initial encounterCan lead a claimENone
S23.161DDislocation of T10/T11 thoracic vertebra, subsequent encounterCMS: Dislocation of T10/T11 thoracic vertebra, subs encntrCan lead a claimENone
S23.161SDislocation of T10/T11 thoracic vertebra, sequelaCan lead a claimENone
S23.162 Subluxation of T11/T12 thoracic vertebra
S23.162ASubluxation of T11/T12 thoracic vertebra, initial encounterCan lead a claimENone
S23.162DSubluxation of T11/T12 thoracic vertebra, subsequent encounterCMS: Subluxation of T11/T12 thoracic vertebra, subs encntrCan lead a claimENone
S23.162SSubluxation of T11/T12 thoracic vertebra, sequelaCan lead a claimENone
S23.163 Dislocation of T11/T12 thoracic vertebra
S23.163ADislocation of T11/T12 thoracic vertebra, initial encounterCan lead a claimENone
S23.163DDislocation of T11/T12 thoracic vertebra, subsequent encounterCMS: Dislocation of T11/T12 thoracic vertebra, subs encntrCan lead a claimENone
S23.163SDislocation of T11/T12 thoracic vertebra, sequelaCan lead a claimENone
S23.17 Subluxation and dislocation of T12/L1 thoracic vertebra
S23.170 Subluxation of T12/L1 thoracic vertebra
S23.170ASubluxation of T12/L1 thoracic vertebra, initial encounterCan lead a claimENone
S23.170DSubluxation of T12/L1 thoracic vertebra, subsequent encounterCMS: Subluxation of T12/L1 thoracic vertebra, subs encntrCan lead a claimENone
S23.170SSubluxation of T12/L1 thoracic vertebra, sequelaCan lead a claimENone
S23.171 Dislocation of T12/L1 thoracic vertebra
S23.171ADislocation of T12/L1 thoracic vertebra, initial encounterCan lead a claimENone
S23.171DDislocation of T12/L1 thoracic vertebra, subsequent encounterCMS: Dislocation of T12/L1 thoracic vertebra, subs encntrCan lead a claimENone
S23.171SDislocation of T12/L1 thoracic vertebra, sequelaCan lead a claimENone
S23.2 Dislocation of other and unspecified parts of thorax
S23.20 Dislocation of unspecified part of thorax
S23.20XADislocation of unspecified part of thorax, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.20XDDislocation of unspecified part of thorax, subsequent encounterCMS: Dislocation of unspecified part of thorax, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.20XSDislocation of unspecified part of thorax, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.29 Dislocation of other parts of thorax
S23.29XADislocation of other parts of thorax, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.29XDDislocation of other parts of thorax, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.29XSDislocation of other parts of thorax, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S23.3 Sprain of ligaments of thoracic spine
S23.3XXASprain of ligaments of thoracic spine, initial encounterCan lead a claimENone
S23.3XXDSprain of ligaments of thoracic spine, subsequent encounterCan lead a claimENone
S23.3XXSSprain of ligaments of thoracic spine, sequelaCan lead a claimENone
S23.4 Sprain of ribs and sternum
S23.41 Sprain of ribs
S23.41XASprain of ribs, initial encounterCan lead a claimENone
S23.41XDSprain of ribs, subsequent encounterCan lead a claimENone
S23.41XSSprain of ribs, sequelaCan lead a claimENone
S23.42 Sprain of sternum
S23.421 Sprain of chondrosternal joint
S23.421ASprain of chondrosternal joint, initial encounterCan lead a claimENone
S23.421DSprain of chondrosternal joint, subsequent encounterCan lead a claimENone
S23.421SSprain of chondrosternal joint, sequelaCan lead a claimENone
S23.428 Other sprain of sternum
S23.428AOther sprain of sternum, initial encounterCan lead a claimENone
S23.428DOther sprain of sternum, subsequent encounterCan lead a claimENone
S23.428SOther sprain of sternum, sequelaCan lead a claimENone
S23.429 Unspecified sprain of sternum
S23.429AUnspecified sprain of sternum, initial encounterCan lead a claimENone
S23.429DUnspecified sprain of sternum, subsequent encounterCan lead a claimENone
S23.429SUnspecified sprain of sternum, sequelaCan lead a claimENone
S23.8 Sprain of other specified parts of thorax
S23.8XXASprain of other specified parts of thorax, initial encounterCan lead a claimENone
S23.8XXDSprain of other specified parts of thorax, subsequent encounterCMS: Sprain of other specified parts of thorax, subs encntrCan lead a claimENone
S23.8XXSSprain of other specified parts of thorax, sequelaCan lead a claimENone
S23.9 Sprain of unspecified parts of thorax
S23.9XXASprain of unspecified parts of thorax, initial encounterCan lead a claimENone
S23.9XXDSprain of unspecified parts of thorax, subsequent encounterCan lead a claimENone
S23.9XXSSprain of unspecified parts of thorax, sequelaCan lead a claimENone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue