S43.9
Header — not billableSprain of unspecified parts of shoulder girdle
The ICD-10 code for sprain of unspecified parts of shoulder girdle is S43.9.
S43.9 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
- S43.0Subluxation and dislocation of shoulder jointnon-billable header
- S43.1Subluxation and dislocation of acromioclavicular jointnon-billable header
- S43.2Subluxation and dislocation of sternoclavicular jointnon-billable header
- S43.3Subluxation and dislocation of other and unspecified parts of shoulder girdlenon-billable header
- S43.4Sprain of shoulder jointnon-billable header
- S43.5Sprain of acromioclavicular jointnon-billable header
- S43.6Sprain of sternoclavicular jointnon-billable header
- S43.8Sprain of other specified parts of shoulder girdlenon-billable header
- S43.9Sprain of unspecified parts of shoulder girdlenon-billable header