ICD-10 · PDGM grouping
S43 Dislocation and sprain of joints and ligaments of shoulder girdle
All 333 codes in the S43 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
333
Can lead a claim
222
Cannot lead a claim
111
What CMS assigns to S43
222 of the 333 codes group to Musculoskeletal Rehabilitation; 111 are assigned no clinical group. None of the 333 is assigned a comorbidity subgroup. 222 of the 333 can lead a claim.
Every code in S43
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S43.0 Subluxation and dislocation of shoulder joint | ||||
| S43.00 Unspecified subluxation and dislocation of shoulder joint | ||||
| S43.001 Unspecified subluxation of right shoulder joint | ||||
| S43.001A | Unspecified subluxation of right shoulder joint, initial encounterCMS: Unspecified subluxation of right shoulder joint, init encntr | Can lead a claim | E | None |
| S43.001D | Unspecified subluxation of right shoulder joint, subsequent encounterCMS: Unspecified subluxation of right shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.001S | Unspecified subluxation of right shoulder joint, sequela | Can lead a claim | E | None |
| S43.002 Unspecified subluxation of left shoulder joint | ||||
| S43.002A | Unspecified subluxation of left shoulder joint, initial encounterCMS: Unspecified subluxation of left shoulder joint, init encntr | Can lead a claim | E | None |
| S43.002D | Unspecified subluxation of left shoulder joint, subsequent encounterCMS: Unspecified subluxation of left shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.002S | Unspecified subluxation of left shoulder joint, sequela | Can lead a claim | E | None |
| S43.003 Unspecified subluxation of unspecified shoulder joint | ||||
| S43.003A | Unspecified subluxation of unspecified shoulder joint, initial encounterCMS: Unsp subluxation of unspecified shoulder joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.003D | Unspecified subluxation of unspecified shoulder joint, subsequent encounterCMS: Unsp subluxation of unspecified shoulder joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.003S | Unspecified subluxation of unspecified shoulder joint, sequelaCMS: Unsp subluxation of unspecified shoulder joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.004 Unspecified dislocation of right shoulder joint | ||||
| S43.004A | Unspecified dislocation of right shoulder joint, initial encounterCMS: Unspecified dislocation of right shoulder joint, init encntr | Can lead a claim | E | None |
| S43.004D | Unspecified dislocation of right shoulder joint, subsequent encounterCMS: Unspecified dislocation of right shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.004S | Unspecified dislocation of right shoulder joint, sequela | Can lead a claim | E | None |
| S43.005 Unspecified dislocation of left shoulder joint | ||||
| S43.005A | Unspecified dislocation of left shoulder joint, initial encounterCMS: Unspecified dislocation of left shoulder joint, init encntr | Can lead a claim | E | None |
| S43.005D | Unspecified dislocation of left shoulder joint, subsequent encounterCMS: Unspecified dislocation of left shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.005S | Unspecified dislocation of left shoulder joint, sequela | Can lead a claim | E | None |
| S43.006 Unspecified dislocation of unspecified shoulder joint | ||||
| S43.006A | Unspecified dislocation of unspecified shoulder joint, initial encounterCMS: Unsp dislocation of unspecified shoulder joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.006D | Unspecified dislocation of unspecified shoulder joint, subsequent encounterCMS: Unsp dislocation of unspecified shoulder joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.006S | Unspecified dislocation of unspecified shoulder joint, sequelaCMS: Unsp dislocation of unspecified shoulder joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.01 Anterior subluxation and dislocation of humerus | ||||
| S43.011 Anterior subluxation of right humerus | ||||
| S43.011A | Anterior subluxation of right humerus, initial encounter | Can lead a claim | E | None |
| S43.011D | Anterior subluxation of right humerus, subsequent encounter | Can lead a claim | E | None |
| S43.011S | Anterior subluxation of right humerus, sequela | Can lead a claim | E | None |
| S43.012 Anterior subluxation of left humerus | ||||
| S43.012A | Anterior subluxation of left humerus, initial encounter | Can lead a claim | E | None |
| S43.012D | Anterior subluxation of left humerus, subsequent encounter | Can lead a claim | E | None |
| S43.012S | Anterior subluxation of left humerus, sequela | Can lead a claim | E | None |
| S43.013 Anterior subluxation of unspecified humerus | ||||
| S43.013A | Anterior subluxation of unspecified humerus, initial encounterCMS: Anterior subluxation of unspecified humerus, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.013D | Anterior subluxation of unspecified humerus, subsequent encounterCMS: Anterior subluxation of unspecified humerus, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.013S | Anterior subluxation of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.014 Anterior dislocation of right humerus | ||||
| S43.014A | Anterior dislocation of right humerus, initial encounter | Can lead a claim | E | None |
| S43.014D | Anterior dislocation of right humerus, subsequent encounter | Can lead a claim | E | None |
| S43.014S | Anterior dislocation of right humerus, sequela | Can lead a claim | E | None |
| S43.015 Anterior dislocation of left humerus | ||||
| S43.015A | Anterior dislocation of left humerus, initial encounter | Can lead a claim | E | None |
| S43.015D | Anterior dislocation of left humerus, subsequent encounter | Can lead a claim | E | None |
| S43.015S | Anterior dislocation of left humerus, sequela | Can lead a claim | E | None |
| S43.016 Anterior dislocation of unspecified humerus | ||||
| S43.016A | Anterior dislocation of unspecified humerus, initial encounterCMS: Anterior dislocation of unspecified humerus, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.016D | Anterior dislocation of unspecified humerus, subsequent encounterCMS: Anterior dislocation of unspecified humerus, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.016S | Anterior dislocation of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.02 Posterior subluxation and dislocation of humerus | ||||
| S43.021 Posterior subluxation of right humerus | ||||
| S43.021A | Posterior subluxation of right humerus, initial encounter | Can lead a claim | E | None |
| S43.021D | Posterior subluxation of right humerus, subsequent encounter | Can lead a claim | E | None |
| S43.021S | Posterior subluxation of right humerus, sequela | Can lead a claim | E | None |
| S43.022 Posterior subluxation of left humerus | ||||
| S43.022A | Posterior subluxation of left humerus, initial encounter | Can lead a claim | E | None |
| S43.022D | Posterior subluxation of left humerus, subsequent encounter | Can lead a claim | E | None |
| S43.022S | Posterior subluxation of left humerus, sequela | Can lead a claim | E | None |
| S43.023 Posterior subluxation of unspecified humerus | ||||
| S43.023A | Posterior subluxation of unspecified humerus, initial encounterCMS: Posterior subluxation of unspecified humerus, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.023D | Posterior subluxation of unspecified humerus, subsequent encounterCMS: Posterior subluxation of unspecified humerus, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.023S | Posterior subluxation of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.024 Posterior dislocation of right humerus | ||||
| S43.024A | Posterior dislocation of right humerus, initial encounter | Can lead a claim | E | None |
| S43.024D | Posterior dislocation of right humerus, subsequent encounter | Can lead a claim | E | None |
| S43.024S | Posterior dislocation of right humerus, sequela | Can lead a claim | E | None |
| S43.025 Posterior dislocation of left humerus | ||||
| S43.025A | Posterior dislocation of left humerus, initial encounter | Can lead a claim | E | None |
| S43.025D | Posterior dislocation of left humerus, subsequent encounter | Can lead a claim | E | None |
| S43.025S | Posterior dislocation of left humerus, sequela | Can lead a claim | E | None |
| S43.026 Posterior dislocation of unspecified humerus | ||||
| S43.026A | Posterior dislocation of unspecified humerus, initial encounterCMS: Posterior dislocation of unspecified humerus, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.026D | Posterior dislocation of unspecified humerus, subsequent encounterCMS: Posterior dislocation of unspecified humerus, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.026S | Posterior dislocation of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.03 Inferior subluxation and dislocation of humerus | ||||
| S43.031 Inferior subluxation of right humerus | ||||
| S43.031A | Inferior subluxation of right humerus, initial encounter | Can lead a claim | E | None |
| S43.031D | Inferior subluxation of right humerus, subsequent encounter | Can lead a claim | E | None |
| S43.031S | Inferior subluxation of right humerus, sequela | Can lead a claim | E | None |
| S43.032 Inferior subluxation of left humerus | ||||
| S43.032A | Inferior subluxation of left humerus, initial encounter | Can lead a claim | E | None |
| S43.032D | Inferior subluxation of left humerus, subsequent encounter | Can lead a claim | E | None |
| S43.032S | Inferior subluxation of left humerus, sequela | Can lead a claim | E | None |
| S43.033 Inferior subluxation of unspecified humerus | ||||
| S43.033A | Inferior subluxation of unspecified humerus, initial encounterCMS: Inferior subluxation of unspecified humerus, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.033D | Inferior subluxation of unspecified humerus, subsequent encounterCMS: Inferior subluxation of unspecified humerus, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.033S | Inferior subluxation of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.034 Inferior dislocation of right humerus | ||||
| S43.034A | Inferior dislocation of right humerus, initial encounter | Can lead a claim | E | None |
| S43.034D | Inferior dislocation of right humerus, subsequent encounter | Can lead a claim | E | None |
| S43.034S | Inferior dislocation of right humerus, sequela | Can lead a claim | E | None |
| S43.035 Inferior dislocation of left humerus | ||||
| S43.035A | Inferior dislocation of left humerus, initial encounter | Can lead a claim | E | None |
| S43.035D | Inferior dislocation of left humerus, subsequent encounter | Can lead a claim | E | None |
| S43.035S | Inferior dislocation of left humerus, sequela | Can lead a claim | E | None |
| S43.036 Inferior dislocation of unspecified humerus | ||||
| S43.036A | Inferior dislocation of unspecified humerus, initial encounterCMS: Inferior dislocation of unspecified humerus, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.036D | Inferior dislocation of unspecified humerus, subsequent encounterCMS: Inferior dislocation of unspecified humerus, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.036S | Inferior dislocation of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.08 Other subluxation and dislocation of shoulder joint | ||||
| S43.081 Other subluxation of right shoulder joint | ||||
| S43.081A | Other subluxation of right shoulder joint, initial encounter | Can lead a claim | E | None |
| S43.081D | Other subluxation of right shoulder joint, subsequent encounterCMS: Other subluxation of right shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.081S | Other subluxation of right shoulder joint, sequela | Can lead a claim | E | None |
| S43.082 Other subluxation of left shoulder joint | ||||
| S43.082A | Other subluxation of left shoulder joint, initial encounter | Can lead a claim | E | None |
| S43.082D | Other subluxation of left shoulder joint, subsequent encounterCMS: Other subluxation of left shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.082S | Other subluxation of left shoulder joint, sequela | Can lead a claim | E | None |
| S43.083 Other subluxation of unspecified shoulder joint | ||||
| S43.083A | Other subluxation of unspecified shoulder joint, initial encounterCMS: Other subluxation of unspecified shoulder joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.083D | Other subluxation of unspecified shoulder joint, subsequent encounterCMS: Other subluxation of unspecified shoulder joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.083S | Other subluxation of unspecified shoulder joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.084 Other dislocation of right shoulder joint | ||||
| S43.084A | Other dislocation of right shoulder joint, initial encounter | Can lead a claim | E | None |
| S43.084D | Other dislocation of right shoulder joint, subsequent encounterCMS: Other dislocation of right shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.084S | Other dislocation of right shoulder joint, sequela | Can lead a claim | E | None |
| S43.085 Other dislocation of left shoulder joint | ||||
| S43.085A | Other dislocation of left shoulder joint, initial encounter | Can lead a claim | E | None |
| S43.085D | Other dislocation of left shoulder joint, subsequent encounterCMS: Other dislocation of left shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.085S | Other dislocation of left shoulder joint, sequela | Can lead a claim | E | None |
| S43.086 Other dislocation of unspecified shoulder joint | ||||
| S43.086A | Other dislocation of unspecified shoulder joint, initial encounterCMS: Other dislocation of unspecified shoulder joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.086D | Other dislocation of unspecified shoulder joint, subsequent encounterCMS: Other dislocation of unspecified shoulder joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.086S | Other dislocation of unspecified shoulder joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.1 Subluxation and dislocation of acromioclavicular joint | ||||
| S43.10 Unspecified dislocation of acromioclavicular joint | ||||
| S43.101 Unspecified dislocation of right acromioclavicular joint | ||||
| S43.101A | Unspecified dislocation of right acromioclavicular joint, initial encounterCMS: Unsp dislocation of right acromioclavicular joint, init | Can lead a claim | E | None |
| S43.101D | Unspecified dislocation of right acromioclavicular joint, subsequent encounterCMS: Unsp dislocation of right acromioclavicular joint, subs | Can lead a claim | E | None |
| S43.101S | Unspecified dislocation of right acromioclavicular joint, sequelaCMS: Unsp dislocation of right acromioclavicular joint, sequela | Can lead a claim | E | None |
| S43.102 Unspecified dislocation of left acromioclavicular joint | ||||
| S43.102A | Unspecified dislocation of left acromioclavicular joint, initial encounterCMS: Unsp dislocation of left acromioclavicular joint, init | Can lead a claim | E | None |
| S43.102D | Unspecified dislocation of left acromioclavicular joint, subsequent encounterCMS: Unsp dislocation of left acromioclavicular joint, subs | Can lead a claim | E | None |
| S43.102S | Unspecified dislocation of left acromioclavicular joint, sequelaCMS: Unsp dislocation of left acromioclavicular joint, sequela | Can lead a claim | E | None |
| S43.109 Unspecified dislocation of unspecified acromioclavicular joint | ||||
| S43.109A | Unspecified dislocation of unspecified acromioclavicular joint, initial encounterCMS: Unsp dislocation of unsp acromioclavicular joint, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.109D | Unspecified dislocation of unspecified acromioclavicular joint, subsequent encounterCMS: Unsp dislocation of unsp acromioclavicular joint, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.109S | Unspecified dislocation of unspecified acromioclavicular joint, sequelaCMS: Unsp dislocation of unsp acromioclavicular joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.11 Subluxation of acromioclavicular joint | ||||
| S43.111 Subluxation of right acromioclavicular joint | ||||
| S43.111A | Subluxation of right acromioclavicular joint, initial encounterCMS: Subluxation of right acromioclavicular joint, init encntr | Can lead a claim | E | None |
| S43.111D | Subluxation of right acromioclavicular joint, subsequent encounterCMS: Subluxation of right acromioclavicular joint, subs encntr | Can lead a claim | E | None |
| S43.111S | Subluxation of right acromioclavicular joint, sequela | Can lead a claim | E | None |
| S43.112 Subluxation of left acromioclavicular joint | ||||
| S43.112A | Subluxation of left acromioclavicular joint, initial encounterCMS: Subluxation of left acromioclavicular joint, init encntr | Can lead a claim | E | None |
| S43.112D | Subluxation of left acromioclavicular joint, subsequent encounterCMS: Subluxation of left acromioclavicular joint, subs encntr | Can lead a claim | E | None |
| S43.112S | Subluxation of left acromioclavicular joint, sequela | Can lead a claim | E | None |
| S43.119 Subluxation of unspecified acromioclavicular joint | ||||
| S43.119A | Subluxation of unspecified acromioclavicular joint, initial encounterCMS: Subluxation of unsp acromioclavicular joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.119D | Subluxation of unspecified acromioclavicular joint, subsequent encounterCMS: Subluxation of unsp acromioclavicular joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.119S | Subluxation of unspecified acromioclavicular joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.12 Dislocation of acromioclavicular joint, 100%-200% displacement | ||||
| S43.121 Dislocation of right acromioclavicular joint, 100%-200% displacement | ||||
| S43.121A | Dislocation of right acromioclavicular joint, 100%-200% displacement, initial encounterCMS: Dislocation of r acromioclav jt, 100%-200% displacmnt, init | Can lead a claim | E | None |
| S43.121D | Dislocation of right acromioclavicular joint, 100%-200% displacement, subsequent encounterCMS: Dislocation of r acromioclav jt, 100%-200% displacmnt, subs | Can lead a claim | E | None |
| S43.121S | Dislocation of right acromioclavicular joint, 100%-200% displacement, sequelaCMS: Disloc of r acromioclav jt, 100%-200% displacmnt, sequela | Can lead a claim | E | None |
| S43.122 Dislocation of left acromioclavicular joint, 100%-200% displacement | ||||
| S43.122A | Dislocation of left acromioclavicular joint, 100%-200% displacement, initial encounterCMS: Dislocation of l acromioclav jt, 100%-200% displacmnt, init | Can lead a claim | E | None |
| S43.122D | Dislocation of left acromioclavicular joint, 100%-200% displacement, subsequent encounterCMS: Dislocation of l acromioclav jt, 100%-200% displacmnt, subs | Can lead a claim | E | None |
| S43.122S | Dislocation of left acromioclavicular joint, 100%-200% displacement, sequelaCMS: Disloc of l acromioclav jt, 100%-200% displacmnt, sequela | Can lead a claim | E | None |
| S43.129 Dislocation of unspecified acromioclavicular joint, 100%-200% displacement | ||||
| S43.129A | Dislocation of unspecified acromioclavicular joint, 100%-200% displacement, initial encounterCMS: Disloc of unsp acromioclav jt, 100%-200% displacmnt, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.129D | Dislocation of unspecified acromioclavicular joint, 100%-200% displacement, subsequent encounterCMS: Disloc of unsp acromioclav jt, 100%-200% displacmnt, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.129S | Dislocation of unspecified acromioclavicular joint, 100%-200% displacement, sequelaCMS: Disloc of unsp acromioclav jt, 100%-200% displacmnt, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.13 Dislocation of acromioclavicular joint, greater than 200% displacement | ||||
| S43.131 Dislocation of right acromioclavicular joint, greater than 200% displacement | ||||
| S43.131A | Dislocation of right acromioclavicular joint, greater than 200% displacement, initial encounterCMS: Dislocation of r acromioclav jt, > 200% displacmnt, init | Can lead a claim | E | None |
| S43.131D | Dislocation of right acromioclavicular joint, greater than 200% displacement, subsequent encounterCMS: Dislocation of r acromioclav jt, > 200% displacmnt, subs | Can lead a claim | E | None |
| S43.131S | Dislocation of right acromioclavicular joint, greater than 200% displacement, sequelaCMS: Dislocation of r acromioclav jt, > 200% displacmnt, sequela | Can lead a claim | E | None |
| S43.132 Dislocation of left acromioclavicular joint, greater than 200% displacement | ||||
| S43.132A | Dislocation of left acromioclavicular joint, greater than 200% displacement, initial encounterCMS: Dislocation of l acromioclav jt, > 200% displacmnt, init | Can lead a claim | E | None |
| S43.132D | Dislocation of left acromioclavicular joint, greater than 200% displacement, subsequent encounterCMS: Dislocation of l acromioclav jt, > 200% displacmnt, subs | Can lead a claim | E | None |
| S43.132S | Dislocation of left acromioclavicular joint, greater than 200% displacement, sequelaCMS: Dislocation of l acromioclav jt, > 200% displacmnt, sequela | Can lead a claim | E | None |
| S43.139 Dislocation of unspecified acromioclavicular joint, greater than 200% displacement | ||||
| S43.139A | Dislocation of unspecified acromioclavicular joint, greater than 200% displacement, initial encounterCMS: Dislocation of unsp acromioclav jt, > 200% displacmnt, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.139D | Dislocation of unspecified acromioclavicular joint, greater than 200% displacement, subsequent encounterCMS: Dislocation of unsp acromioclav jt, > 200% displacmnt, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.139S | Dislocation of unspecified acromioclavicular joint, greater than 200% displacement, sequelaCMS: Disloc of unsp acromioclav jt, > 200% displacmnt, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.14 Inferior dislocation of acromioclavicular joint | ||||
| S43.141 Inferior dislocation of right acromioclavicular joint | ||||
| S43.141A | Inferior dislocation of right acromioclavicular joint, initial encounterCMS: Inferior dislocation of right acromioclavicular joint, init | Can lead a claim | E | None |
| S43.141D | Inferior dislocation of right acromioclavicular joint, subsequent encounterCMS: Inferior dislocation of right acromioclavicular joint, subs | Can lead a claim | E | None |
| S43.141S | Inferior dislocation of right acromioclavicular joint, sequelaCMS: Inferior dislocation of r acromioclav jt, sequela | Can lead a claim | E | None |
| S43.142 Inferior dislocation of left acromioclavicular joint | ||||
| S43.142A | Inferior dislocation of left acromioclavicular joint, initial encounterCMS: Inferior dislocation of left acromioclavicular joint, init | Can lead a claim | E | None |
| S43.142D | Inferior dislocation of left acromioclavicular joint, subsequent encounterCMS: Inferior dislocation of left acromioclavicular joint, subs | Can lead a claim | E | None |
| S43.142S | Inferior dislocation of left acromioclavicular joint, sequelaCMS: Inferior dislocation of l acromioclav jt, sequela | Can lead a claim | E | None |
| S43.149 Inferior dislocation of unspecified acromioclavicular joint | ||||
| S43.149A | Inferior dislocation of unspecified acromioclavicular joint, initial encounterCMS: Inferior dislocation of unsp acromioclavicular joint, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.149D | Inferior dislocation of unspecified acromioclavicular joint, subsequent encounterCMS: Inferior dislocation of unsp acromioclavicular joint, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.149S | Inferior dislocation of unspecified acromioclavicular joint, sequelaCMS: Inferior dislocation of unsp acromioclav jt, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.15 Posterior dislocation of acromioclavicular joint | ||||
| S43.151 Posterior dislocation of right acromioclavicular joint | ||||
| S43.151A | Posterior dislocation of right acromioclavicular joint, initial encounterCMS: Posterior dislocation of right acromioclavicular joint, init | Can lead a claim | E | None |
| S43.151D | Posterior dislocation of right acromioclavicular joint, subsequent encounterCMS: Posterior dislocation of right acromioclavicular joint, subs | Can lead a claim | E | None |
| S43.151S | Posterior dislocation of right acromioclavicular joint, sequelaCMS: Posterior dislocation of r acromioclav jt, sequela | Can lead a claim | E | None |
| S43.152 Posterior dislocation of left acromioclavicular joint | ||||
| S43.152A | Posterior dislocation of left acromioclavicular joint, initial encounterCMS: Posterior dislocation of left acromioclavicular joint, init | Can lead a claim | E | None |
| S43.152D | Posterior dislocation of left acromioclavicular joint, subsequent encounterCMS: Posterior dislocation of left acromioclavicular joint, subs | Can lead a claim | E | None |
| S43.152S | Posterior dislocation of left acromioclavicular joint, sequelaCMS: Posterior dislocation of l acromioclav jt, sequela | Can lead a claim | E | None |
| S43.159 Posterior dislocation of unspecified acromioclavicular joint | ||||
| S43.159A | Posterior dislocation of unspecified acromioclavicular joint, initial encounterCMS: Posterior dislocation of unsp acromioclavicular joint, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.159D | Posterior dislocation of unspecified acromioclavicular joint, subsequent encounterCMS: Posterior dislocation of unsp acromioclavicular joint, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.159S | Posterior dislocation of unspecified acromioclavicular joint, sequelaCMS: Posterior dislocation of unsp acromioclav jt, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.2 Subluxation and dislocation of sternoclavicular joint | ||||
| S43.20 Unspecified subluxation and dislocation of sternoclavicular joint | ||||
| S43.201 Unspecified subluxation of right sternoclavicular joint | ||||
| S43.201A | Unspecified subluxation of right sternoclavicular joint, initial encounterCMS: Unsp subluxation of right sternoclavicular joint, init | Can lead a claim | E | None |
| S43.201D | Unspecified subluxation of right sternoclavicular joint, subsequent encounterCMS: Unsp subluxation of right sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.201S | Unspecified subluxation of right sternoclavicular joint, sequelaCMS: Unsp subluxation of right sternoclavicular joint, sequela | Can lead a claim | E | None |
| S43.202 Unspecified subluxation of left sternoclavicular joint | ||||
| S43.202A | Unspecified subluxation of left sternoclavicular joint, initial encounterCMS: Unsp subluxation of left sternoclavicular joint, init encntr | Can lead a claim | E | None |
| S43.202D | Unspecified subluxation of left sternoclavicular joint, subsequent encounterCMS: Unsp subluxation of left sternoclavicular joint, subs encntr | Can lead a claim | E | None |
| S43.202S | Unspecified subluxation of left sternoclavicular joint, sequelaCMS: Unsp subluxation of left sternoclavicular joint, sequela | Can lead a claim | E | None |
| S43.203 Unspecified subluxation of unspecified sternoclavicular joint | ||||
| S43.203A | Unspecified subluxation of unspecified sternoclavicular joint, initial encounterCMS: Unsp subluxation of unsp sternoclavicular joint, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S43.203D | Unspecified subluxation of unspecified sternoclavicular joint, subsequent encounterCMS: Unsp subluxation of unsp sternoclavicular joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.203S | Unspecified subluxation of unspecified sternoclavicular joint, sequelaCMS: Unsp subluxation of unsp sternoclavicular joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.204 Unspecified dislocation of right sternoclavicular joint | ||||
| S43.204A | Unspecified dislocation of right sternoclavicular joint, initial encounterCMS: Unsp dislocation of right sternoclavicular joint, init | Can lead a claim | E | None |
| S43.204D | Unspecified dislocation of right sternoclavicular joint, subsequent encounterCMS: Unsp dislocation of right sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.204S | Unspecified dislocation of right sternoclavicular joint, sequelaCMS: Unsp dislocation of right sternoclavicular joint, sequela | Can lead a claim | E | None |
| S43.205 Unspecified dislocation of left sternoclavicular joint | ||||
| S43.205A | Unspecified dislocation of left sternoclavicular joint, initial encounterCMS: Unsp dislocation of left sternoclavicular joint, init encntr | Can lead a claim | E | None |
| S43.205D | Unspecified dislocation of left sternoclavicular joint, subsequent encounterCMS: Unsp dislocation of left sternoclavicular joint, subs encntr | Can lead a claim | E | None |
| S43.205S | Unspecified dislocation of left sternoclavicular joint, sequelaCMS: Unsp dislocation of left sternoclavicular joint, sequela | Can lead a claim | E | None |
| S43.206 Unspecified dislocation of unspecified sternoclavicular joint | ||||
| S43.206A | Unspecified dislocation of unspecified sternoclavicular joint, initial encounterCMS: Unsp dislocation of unsp sternoclavicular joint, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S43.206D | Unspecified dislocation of unspecified sternoclavicular joint, subsequent encounterCMS: Unsp dislocation of unsp sternoclavicular joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.206S | Unspecified dislocation of unspecified sternoclavicular joint, sequelaCMS: Unsp dislocation of unsp sternoclavicular joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.21 Anterior subluxation and dislocation of sternoclavicular joint | ||||
| S43.211 Anterior subluxation of right sternoclavicular joint | ||||
| S43.211A | Anterior subluxation of right sternoclavicular joint, initial encounterCMS: Anterior subluxation of right sternoclavicular joint, init | Can lead a claim | E | None |
| S43.211D | Anterior subluxation of right sternoclavicular joint, subsequent encounterCMS: Anterior subluxation of right sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.211S | Anterior subluxation of right sternoclavicular joint, sequelaCMS: Anterior subluxation of r sternoclav jt, sequela | Can lead a claim | E | None |
| S43.212 Anterior subluxation of left sternoclavicular joint | ||||
| S43.212A | Anterior subluxation of left sternoclavicular joint, initial encounterCMS: Anterior subluxation of left sternoclavicular joint, init | Can lead a claim | E | None |
| S43.212D | Anterior subluxation of left sternoclavicular joint, subsequent encounterCMS: Anterior subluxation of left sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.212S | Anterior subluxation of left sternoclavicular joint, sequela | Can lead a claim | E | None |
| S43.213 Anterior subluxation of unspecified sternoclavicular joint | ||||
| S43.213A | Anterior subluxation of unspecified sternoclavicular joint, initial encounterCMS: Anterior subluxation of unsp sternoclavicular joint, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S43.213D | Anterior subluxation of unspecified sternoclavicular joint, subsequent encounterCMS: Anterior subluxation of unsp sternoclavicular joint, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.213S | Anterior subluxation of unspecified sternoclavicular joint, sequelaCMS: Anterior subluxation of unsp sternoclavicular joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.214 Anterior dislocation of right sternoclavicular joint | ||||
| S43.214A | Anterior dislocation of right sternoclavicular joint, initial encounterCMS: Anterior dislocation of right sternoclavicular joint, init | Can lead a claim | E | None |
| S43.214D | Anterior dislocation of right sternoclavicular joint, subsequent encounterCMS: Anterior dislocation of right sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.214S | Anterior dislocation of right sternoclavicular joint, sequelaCMS: Anterior dislocation of r sternoclav jt, sequela | Can lead a claim | E | None |
| S43.215 Anterior dislocation of left sternoclavicular joint | ||||
| S43.215A | Anterior dislocation of left sternoclavicular joint, initial encounterCMS: Anterior dislocation of left sternoclavicular joint, init | Can lead a claim | E | None |
| S43.215D | Anterior dislocation of left sternoclavicular joint, subsequent encounterCMS: Anterior dislocation of left sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.215S | Anterior dislocation of left sternoclavicular joint, sequela | Can lead a claim | E | None |
| S43.216 Anterior dislocation of unspecified sternoclavicular joint | ||||
| S43.216A | Anterior dislocation of unspecified sternoclavicular joint, initial encounterCMS: Anterior dislocation of unsp sternoclavicular joint, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S43.216D | Anterior dislocation of unspecified sternoclavicular joint, subsequent encounterCMS: Anterior dislocation of unsp sternoclavicular joint, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.216S | Anterior dislocation of unspecified sternoclavicular joint, sequelaCMS: Anterior dislocation of unsp sternoclavicular joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.22 Posterior subluxation and dislocation of sternoclavicular joint | ||||
| S43.221 Posterior subluxation of right sternoclavicular joint | ||||
| S43.221A | Posterior subluxation of right sternoclavicular joint, initial encounterCMS: Posterior subluxation of right sternoclavicular joint, init | Can lead a claim | E | None |
| S43.221D | Posterior subluxation of right sternoclavicular joint, subsequent encounterCMS: Posterior subluxation of right sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.221S | Posterior subluxation of right sternoclavicular joint, sequelaCMS: Posterior subluxation of r sternoclav jt, sequela | Can lead a claim | E | None |
| S43.222 Posterior subluxation of left sternoclavicular joint | ||||
| S43.222A | Posterior subluxation of left sternoclavicular joint, initial encounterCMS: Posterior subluxation of left sternoclavicular joint, init | Can lead a claim | E | None |
| S43.222D | Posterior subluxation of left sternoclavicular joint, subsequent encounterCMS: Posterior subluxation of left sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.222S | Posterior subluxation of left sternoclavicular joint, sequelaCMS: Posterior subluxation of l sternoclav jt, sequela | Can lead a claim | E | None |
| S43.223 Posterior subluxation of unspecified sternoclavicular joint | ||||
| S43.223A | Posterior subluxation of unspecified sternoclavicular joint, initial encounterCMS: Posterior subluxation of unsp sternoclavicular joint, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S43.223D | Posterior subluxation of unspecified sternoclavicular joint, subsequent encounterCMS: Posterior subluxation of unsp sternoclavicular joint, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.223S | Posterior subluxation of unspecified sternoclavicular joint, sequelaCMS: Posterior subluxation of unsp sternoclav jt, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.224 Posterior dislocation of right sternoclavicular joint | ||||
| S43.224A | Posterior dislocation of right sternoclavicular joint, initial encounterCMS: Posterior dislocation of right sternoclavicular joint, init | Can lead a claim | E | None |
| S43.224D | Posterior dislocation of right sternoclavicular joint, subsequent encounterCMS: Posterior dislocation of right sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.224S | Posterior dislocation of right sternoclavicular joint, sequelaCMS: Posterior dislocation of r sternoclav jt, sequela | Can lead a claim | E | None |
| S43.225 Posterior dislocation of left sternoclavicular joint | ||||
| S43.225A | Posterior dislocation of left sternoclavicular joint, initial encounterCMS: Posterior dislocation of left sternoclavicular joint, init | Can lead a claim | E | None |
| S43.225D | Posterior dislocation of left sternoclavicular joint, subsequent encounterCMS: Posterior dislocation of left sternoclavicular joint, subs | Can lead a claim | E | None |
| S43.225S | Posterior dislocation of left sternoclavicular joint, sequelaCMS: Posterior dislocation of l sternoclav jt, sequela | Can lead a claim | E | None |
| S43.226 Posterior dislocation of unspecified sternoclavicular joint | ||||
| S43.226A | Posterior dislocation of unspecified sternoclavicular joint, initial encounterCMS: Posterior dislocation of unsp sternoclavicular joint, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S43.226D | Posterior dislocation of unspecified sternoclavicular joint, subsequent encounterCMS: Posterior dislocation of unsp sternoclavicular joint, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.226S | Posterior dislocation of unspecified sternoclavicular joint, sequelaCMS: Posterior dislocation of unsp sternoclav jt, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.3 Subluxation and dislocation of other and unspecified parts of shoulder girdle | ||||
| S43.30 Subluxation and dislocation of unspecified parts of shoulder girdle | ||||
| S43.301 Subluxation of unspecified parts of right shoulder girdle | ||||
| S43.301A | Subluxation of unspecified parts of right shoulder girdle, initial encounterCMS: Subluxation of unsp parts of right shoulder girdle, init | Can lead a claim | E | None |
| S43.301D | Subluxation of unspecified parts of right shoulder girdle, subsequent encounterCMS: Subluxation of unsp parts of right shoulder girdle, subs | Can lead a claim | E | None |
| S43.301S | Subluxation of unspecified parts of right shoulder girdle, sequelaCMS: Subluxation of unsp parts of right shoulder girdle, sequela | Can lead a claim | E | None |
| S43.302 Subluxation of unspecified parts of left shoulder girdle | ||||
| S43.302A | Subluxation of unspecified parts of left shoulder girdle, initial encounterCMS: Subluxation of unsp parts of left shoulder girdle, init | Can lead a claim | E | None |
| S43.302D | Subluxation of unspecified parts of left shoulder girdle, subsequent encounterCMS: Subluxation of unsp parts of left shoulder girdle, subs | Can lead a claim | E | None |
| S43.302S | Subluxation of unspecified parts of left shoulder girdle, sequelaCMS: Subluxation of unsp parts of left shoulder girdle, sequela | Can lead a claim | E | None |
| S43.303 Subluxation of unspecified parts of unspecified shoulder girdle | ||||
| S43.303A | Subluxation of unspecified parts of unspecified shoulder girdle, initial encounterCMS: Subluxation of unsp parts of unsp shoulder girdle, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.303D | Subluxation of unspecified parts of unspecified shoulder girdle, subsequent encounterCMS: Subluxation of unsp parts of unsp shoulder girdle, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.303S | Subluxation of unspecified parts of unspecified shoulder girdle, sequelaCMS: Subluxation of unsp parts of unsp shoulder girdle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.304 Dislocation of unspecified parts of right shoulder girdle | ||||
| S43.304A | Dislocation of unspecified parts of right shoulder girdle, initial encounterCMS: Dislocation of unsp parts of right shoulder girdle, init | Can lead a claim | E | None |
| S43.304D | Dislocation of unspecified parts of right shoulder girdle, subsequent encounterCMS: Dislocation of unsp parts of right shoulder girdle, subs | Can lead a claim | E | None |
| S43.304S | Dislocation of unspecified parts of right shoulder girdle, sequelaCMS: Dislocation of unsp parts of right shoulder girdle, sequela | Can lead a claim | E | None |
| S43.305 Dislocation of unspecified parts of left shoulder girdle | ||||
| S43.305A | Dislocation of unspecified parts of left shoulder girdle, initial encounterCMS: Dislocation of unsp parts of left shoulder girdle, init | Can lead a claim | E | None |
| S43.305D | Dislocation of unspecified parts of left shoulder girdle, subsequent encounterCMS: Dislocation of unsp parts of left shoulder girdle, subs | Can lead a claim | E | None |
| S43.305S | Dislocation of unspecified parts of left shoulder girdle, sequelaCMS: Dislocation of unsp parts of left shoulder girdle, sequela | Can lead a claim | E | None |
| S43.306 Dislocation of unspecified parts of unspecified shoulder girdle | ||||
| S43.306A | Dislocation of unspecified parts of unspecified shoulder girdle, initial encounterCMS: Dislocation of unsp parts of unsp shoulder girdle, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.306D | Dislocation of unspecified parts of unspecified shoulder girdle, subsequent encounterCMS: Dislocation of unsp parts of unsp shoulder girdle, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.306S | Dislocation of unspecified parts of unspecified shoulder girdle, sequelaCMS: Dislocation of unsp parts of unsp shoulder girdle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.31 Subluxation and dislocation of scapula | ||||
| S43.311 Subluxation of right scapula | ||||
| S43.311A | Subluxation of right scapula, initial encounter | Can lead a claim | E | None |
| S43.311D | Subluxation of right scapula, subsequent encounter | Can lead a claim | E | None |
| S43.311S | Subluxation of right scapula, sequela | Can lead a claim | E | None |
| S43.312 Subluxation of left scapula | ||||
| S43.312A | Subluxation of left scapula, initial encounter | Can lead a claim | E | None |
| S43.312D | Subluxation of left scapula, subsequent encounter | Can lead a claim | E | None |
| S43.312S | Subluxation of left scapula, sequela | Can lead a claim | E | None |
| S43.313 Subluxation of unspecified scapula | ||||
| S43.313A | Subluxation of unspecified scapula, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.313D | Subluxation of unspecified scapula, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.313S | Subluxation of unspecified scapula, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.314 Dislocation of right scapula | ||||
| S43.314A | Dislocation of right scapula, initial encounter | Can lead a claim | E | None |
| S43.314D | Dislocation of right scapula, subsequent encounter | Can lead a claim | E | None |
| S43.314S | Dislocation of right scapula, sequela | Can lead a claim | E | None |
| S43.315 Dislocation of left scapula | ||||
| S43.315A | Dislocation of left scapula, initial encounter | Can lead a claim | E | None |
| S43.315D | Dislocation of left scapula, subsequent encounter | Can lead a claim | E | None |
| S43.315S | Dislocation of left scapula, sequela | Can lead a claim | E | None |
| S43.316 Dislocation of unspecified scapula | ||||
| S43.316A | Dislocation of unspecified scapula, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.316D | Dislocation of unspecified scapula, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.316S | Dislocation of unspecified scapula, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.39 Subluxation and dislocation of other parts of shoulder girdle | ||||
| S43.391 Subluxation of other parts of right shoulder girdle | ||||
| S43.391A | Subluxation of other parts of right shoulder girdle, initial encounterCMS: Subluxation of oth prt right shoulder girdle, init encntr | Can lead a claim | E | None |
| S43.391D | Subluxation of other parts of right shoulder girdle, subsequent encounterCMS: Subluxation of oth prt right shoulder girdle, subs encntr | Can lead a claim | E | None |
| S43.391S | Subluxation of other parts of right shoulder girdle, sequela | Can lead a claim | E | None |
| S43.392 Subluxation of other parts of left shoulder girdle | ||||
| S43.392A | Subluxation of other parts of left shoulder girdle, initial encounterCMS: Subluxation of oth prt left shoulder girdle, init encntr | Can lead a claim | E | None |
| S43.392D | Subluxation of other parts of left shoulder girdle, subsequent encounterCMS: Subluxation of oth prt left shoulder girdle, subs encntr | Can lead a claim | E | None |
| S43.392S | Subluxation of other parts of left shoulder girdle, sequela | Can lead a claim | E | None |
| S43.393 Subluxation of other parts of unspecified shoulder girdle | ||||
| S43.393A | Subluxation of other parts of unspecified shoulder girdle, initial encounterCMS: Subluxation of oth prt unsp shoulder girdle, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.393D | Subluxation of other parts of unspecified shoulder girdle, subsequent encounterCMS: Subluxation of oth prt unsp shoulder girdle, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.393S | Subluxation of other parts of unspecified shoulder girdle, sequelaCMS: Subluxation of other parts of unsp shoulder girdle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.394 Dislocation of other parts of right shoulder girdle | ||||
| S43.394A | Dislocation of other parts of right shoulder girdle, initial encounterCMS: Dislocation of oth prt right shoulder girdle, init encntr | Can lead a claim | E | None |
| S43.394D | Dislocation of other parts of right shoulder girdle, subsequent encounterCMS: Dislocation of oth prt right shoulder girdle, subs encntr | Can lead a claim | E | None |
| S43.394S | Dislocation of other parts of right shoulder girdle, sequela | Can lead a claim | E | None |
| S43.395 Dislocation of other parts of left shoulder girdle | ||||
| S43.395A | Dislocation of other parts of left shoulder girdle, initial encounterCMS: Dislocation of oth prt left shoulder girdle, init encntr | Can lead a claim | E | None |
| S43.395D | Dislocation of other parts of left shoulder girdle, subsequent encounterCMS: Dislocation of oth prt left shoulder girdle, subs encntr | Can lead a claim | E | None |
| S43.395S | Dislocation of other parts of left shoulder girdle, sequela | Can lead a claim | E | None |
| S43.396 Dislocation of other parts of unspecified shoulder girdle | ||||
| S43.396A | Dislocation of other parts of unspecified shoulder girdle, initial encounterCMS: Dislocation of oth prt unsp shoulder girdle, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.396D | Dislocation of other parts of unspecified shoulder girdle, subsequent encounterCMS: Dislocation of oth prt unsp shoulder girdle, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.396S | Dislocation of other parts of unspecified shoulder girdle, sequelaCMS: Dislocation of other parts of unsp shoulder girdle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.4 Sprain of shoulder joint | ||||
| S43.40 Unspecified sprain of shoulder joint | ||||
| S43.401 Unspecified sprain of right shoulder joint | ||||
| S43.401A | Unspecified sprain of right shoulder joint, initial encounterCMS: Unspecified sprain of right shoulder joint, init encntr | Can lead a claim | E | None |
| S43.401D | Unspecified sprain of right shoulder joint, subsequent encounterCMS: Unspecified sprain of right shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.401S | Unspecified sprain of right shoulder joint, sequela | Can lead a claim | E | None |
| S43.402 Unspecified sprain of left shoulder joint | ||||
| S43.402A | Unspecified sprain of left shoulder joint, initial encounter | Can lead a claim | E | None |
| S43.402D | Unspecified sprain of left shoulder joint, subsequent encounterCMS: Unspecified sprain of left shoulder joint, subs encntr | Can lead a claim | E | None |
| S43.402S | Unspecified sprain of left shoulder joint, sequela | Can lead a claim | E | None |
| S43.409 Unspecified sprain of unspecified shoulder joint | ||||
| S43.409A | Unspecified sprain of unspecified shoulder joint, initial encounterCMS: Unsp sprain of unspecified shoulder joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.409D | Unspecified sprain of unspecified shoulder joint, subsequent encounterCMS: Unsp sprain of unspecified shoulder joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.409S | Unspecified sprain of unspecified shoulder joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.41 Sprain of coracohumeral (ligament) | ||||
| S43.411 Sprain of right coracohumeral (ligament) | ||||
| S43.411A | Sprain of right coracohumeral (ligament), initial encounter | Can lead a claim | E | None |
| S43.411D | Sprain of right coracohumeral (ligament), subsequent encounterCMS: Sprain of right coracohumeral (ligament), subs encntr | Can lead a claim | E | None |
| S43.411S | Sprain of right coracohumeral (ligament), sequela | Can lead a claim | E | None |
| S43.412 Sprain of left coracohumeral (ligament) | ||||
| S43.412A | Sprain of left coracohumeral (ligament), initial encounter | Can lead a claim | E | None |
| S43.412D | Sprain of left coracohumeral (ligament), subsequent encounterCMS: Sprain of left coracohumeral (ligament), subs encntr | Can lead a claim | E | None |
| S43.412S | Sprain of left coracohumeral (ligament), sequela | Can lead a claim | E | None |
| S43.419 Sprain of unspecified coracohumeral (ligament) | ||||
| S43.419A | Sprain of unspecified coracohumeral (ligament), initial encounterCMS: Sprain of unspecified coracohumeral (ligament), init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.419D | Sprain of unspecified coracohumeral (ligament), subsequent encounterCMS: Sprain of unspecified coracohumeral (ligament), subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.419S | Sprain of unspecified coracohumeral (ligament), sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.42 Sprain of rotator cuff capsule | ||||
| S43.421 Sprain of right rotator cuff capsule | ||||
| S43.421A | Sprain of right rotator cuff capsule, initial encounter | Can lead a claim | E | None |
| S43.421D | Sprain of right rotator cuff capsule, subsequent encounter | Can lead a claim | E | None |
| S43.421S | Sprain of right rotator cuff capsule, sequela | Can lead a claim | E | None |
| S43.422 Sprain of left rotator cuff capsule | ||||
| S43.422A | Sprain of left rotator cuff capsule, initial encounter | Can lead a claim | E | None |
| S43.422D | Sprain of left rotator cuff capsule, subsequent encounter | Can lead a claim | E | None |
| S43.422S | Sprain of left rotator cuff capsule, sequela | Can lead a claim | E | None |
| S43.429 Sprain of unspecified rotator cuff capsule | ||||
| S43.429A | Sprain of unspecified rotator cuff capsule, initial encounterCMS: Sprain of unspecified rotator cuff capsule, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.429D | Sprain of unspecified rotator cuff capsule, subsequent encounterCMS: Sprain of unspecified rotator cuff capsule, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.429S | Sprain of unspecified rotator cuff capsule, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.43 Superior glenoid labrum lesion | ||||
| S43.431 Superior glenoid labrum lesion of right shoulder | ||||
| S43.431A | Superior glenoid labrum lesion of right shoulder, initial encounterCMS: Superior glenoid labrum lesion of right shoulder, init | Can lead a claim | E | None |
| S43.431D | Superior glenoid labrum lesion of right shoulder, subsequent encounterCMS: Superior glenoid labrum lesion of right shoulder, subs | Can lead a claim | E | None |
| S43.431S | Superior glenoid labrum lesion of right shoulder, sequela | Can lead a claim | E | None |
| S43.432 Superior glenoid labrum lesion of left shoulder | ||||
| S43.432A | Superior glenoid labrum lesion of left shoulder, initial encounterCMS: Superior glenoid labrum lesion of left shoulder, init encntr | Can lead a claim | E | None |
| S43.432D | Superior glenoid labrum lesion of left shoulder, subsequent encounterCMS: Superior glenoid labrum lesion of left shoulder, subs encntr | Can lead a claim | E | None |
| S43.432S | Superior glenoid labrum lesion of left shoulder, sequela | Can lead a claim | E | None |
| S43.439 Superior glenoid labrum lesion of unspecified shoulder | ||||
| S43.439A | Superior glenoid labrum lesion of unspecified shoulder, initial encounterCMS: Superior glenoid labrum lesion of unsp shoulder, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.439D | Superior glenoid labrum lesion of unspecified shoulder, subsequent encounterCMS: Superior glenoid labrum lesion of unsp shoulder, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.439S | Superior glenoid labrum lesion of unspecified shoulder, sequelaCMS: Superior glenoid labrum lesion of unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.49 Other sprain of shoulder joint | ||||
| S43.491 Other sprain of right shoulder joint | ||||
| S43.491A | Other sprain of right shoulder joint, initial encounter | Can lead a claim | E | None |
| S43.491D | Other sprain of right shoulder joint, subsequent encounter | Can lead a claim | E | None |
| S43.491S | Other sprain of right shoulder joint, sequela | Can lead a claim | E | None |
| S43.492 Other sprain of left shoulder joint | ||||
| S43.492A | Other sprain of left shoulder joint, initial encounter | Can lead a claim | E | None |
| S43.492D | Other sprain of left shoulder joint, subsequent encounter | Can lead a claim | E | None |
| S43.492S | Other sprain of left shoulder joint, sequela | Can lead a claim | E | None |
| S43.499 Other sprain of unspecified shoulder joint | ||||
| S43.499A | Other sprain of unspecified shoulder joint, initial encounterCMS: Other sprain of unspecified shoulder joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.499D | Other sprain of unspecified shoulder joint, subsequent encounterCMS: Other sprain of unspecified shoulder joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.499S | Other sprain of unspecified shoulder joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.5 Sprain of acromioclavicular joint | ||||
| S43.50 Sprain of unspecified acromioclavicular joint | ||||
| S43.50XA | Sprain of unspecified acromioclavicular joint, initial encounterCMS: Sprain of unspecified acromioclavicular joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.50XD | Sprain of unspecified acromioclavicular joint, subsequent encounterCMS: Sprain of unspecified acromioclavicular joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.50XS | Sprain of unspecified acromioclavicular joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.51 Sprain of right acromioclavicular joint | ||||
| S43.51XA | Sprain of right acromioclavicular joint, initial encounter | Can lead a claim | E | None |
| S43.51XD | Sprain of right acromioclavicular joint, subsequent encounterCMS: Sprain of right acromioclavicular joint, subs encntr | Can lead a claim | E | None |
| S43.51XS | Sprain of right acromioclavicular joint, sequela | Can lead a claim | E | None |
| S43.52 Sprain of left acromioclavicular joint | ||||
| S43.52XA | Sprain of left acromioclavicular joint, initial encounter | Can lead a claim | E | None |
| S43.52XD | Sprain of left acromioclavicular joint, subsequent encounter | Can lead a claim | E | None |
| S43.52XS | Sprain of left acromioclavicular joint, sequela | Can lead a claim | E | None |
| S43.6 Sprain of sternoclavicular joint | ||||
| S43.60 Sprain of unspecified sternoclavicular joint | ||||
| S43.60XA | Sprain of unspecified sternoclavicular joint, initial encounterCMS: Sprain of unspecified sternoclavicular joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.60XD | Sprain of unspecified sternoclavicular joint, subsequent encounterCMS: Sprain of unspecified sternoclavicular joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.60XS | Sprain of unspecified sternoclavicular joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.61 Sprain of right sternoclavicular joint | ||||
| S43.61XA | Sprain of right sternoclavicular joint, initial encounter | Can lead a claim | E | None |
| S43.61XD | Sprain of right sternoclavicular joint, subsequent encounter | Can lead a claim | E | None |
| S43.61XS | Sprain of right sternoclavicular joint, sequela | Can lead a claim | E | None |
| S43.62 Sprain of left sternoclavicular joint | ||||
| S43.62XA | Sprain of left sternoclavicular joint, initial encounter | Can lead a claim | E | None |
| S43.62XD | Sprain of left sternoclavicular joint, subsequent encounter | Can lead a claim | E | None |
| S43.62XS | Sprain of left sternoclavicular joint, sequela | Can lead a claim | E | None |
| S43.8 Sprain of other specified parts of shoulder girdle | ||||
| S43.80 Sprain of other specified parts of unspecified shoulder girdle | ||||
| S43.80XA | Sprain of other specified parts of unspecified shoulder girdle, initial encounterCMS: Sprain of oth parts of unsp shoulder girdle, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.80XD | Sprain of other specified parts of unspecified shoulder girdle, subsequent encounterCMS: Sprain of oth parts of unsp shoulder girdle, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.80XS | Sprain of other specified parts of unspecified shoulder girdle, sequelaCMS: Sprain of oth parts of unspecified shoulder girdle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.81 Sprain of other specified parts of right shoulder girdle | ||||
| S43.81XA | Sprain of other specified parts of right shoulder girdle, initial encounterCMS: Sprain of oth parts of right shoulder girdle, init encntr | Can lead a claim | E | None |
| S43.81XD | Sprain of other specified parts of right shoulder girdle, subsequent encounterCMS: Sprain of oth parts of right shoulder girdle, subs encntr | Can lead a claim | E | None |
| S43.81XS | Sprain of other specified parts of right shoulder girdle, sequelaCMS: Sprain of oth parts of right shoulder girdle, sequela | Can lead a claim | E | None |
| S43.82 Sprain of other specified parts of left shoulder girdle | ||||
| S43.82XA | Sprain of other specified parts of left shoulder girdle, initial encounterCMS: Sprain of oth parts of left shoulder girdle, init encntr | Can lead a claim | E | None |
| S43.82XD | Sprain of other specified parts of left shoulder girdle, subsequent encounterCMS: Sprain of oth parts of left shoulder girdle, subs encntr | Can lead a claim | E | None |
| S43.82XS | Sprain of other specified parts of left shoulder girdle, sequelaCMS: Sprain of oth parts of left shoulder girdle, sequela | Can lead a claim | E | None |
| S43.9 Sprain of unspecified parts of shoulder girdle | ||||
| S43.90 Sprain of unspecified parts of unspecified shoulder girdle | ||||
| S43.90XA | Sprain of unspecified parts of unspecified shoulder girdle, initial encounterCMS: Sprain of unsp parts of unsp shoulder girdle, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.90XD | Sprain of unspecified parts of unspecified shoulder girdle, subsequent encounterCMS: Sprain of unsp parts of unsp shoulder girdle, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.90XS | Sprain of unspecified parts of unspecified shoulder girdle, sequelaCMS: Sprain of unsp parts of unspecified shoulder girdle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S43.91 Sprain of unspecified parts of right shoulder girdle | ||||
| S43.91XA | Sprain of unspecified parts of right shoulder girdle, initial encounterCMS: Sprain of unsp parts of right shoulder girdle, init encntr | Can lead a claim | E | None |
| S43.91XD | Sprain of unspecified parts of right shoulder girdle, subsequent encounterCMS: Sprain of unsp parts of right shoulder girdle, subs encntr | Can lead a claim | E | None |
| S43.91XS | Sprain of unspecified parts of right shoulder girdle, sequelaCMS: Sprain of unsp parts of right shoulder girdle, sequela | Can lead a claim | E | None |
| S43.92 Sprain of unspecified parts of left shoulder girdle | ||||
| S43.92XA | Sprain of unspecified parts of left shoulder girdle, initial encounterCMS: Sprain of unsp parts of left shoulder girdle, init encntr | Can lead a claim | E | None |
| S43.92XD | Sprain of unspecified parts of left shoulder girdle, subsequent encounterCMS: Sprain of unsp parts of left shoulder girdle, subs encntr | Can lead a claim | E | None |
| S43.92XS | Sprain of unspecified parts of left shoulder girdle, sequela | Can lead a claim | E | None |
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.
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