S43.40
Header — not billableUnspecified sprain of shoulder joint
The ICD-10 code for unspecified sprain of shoulder joint is S43.40.
S43.40 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 3 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- S43.41Sprain of coracohumeral (ligament)non-billable header
- S43.42Sprain of rotator cuff capsulenon-billable header
- S43.43Superior glenoid labrum lesionnon-billable header
- S43.49Other sprain of shoulder jointnon-billable header
- S43.40Unspecified sprain of shoulder jointnon-billable header