Back to ICD-10 library
ICD-10-CM · FY 2026 APRIL UPDATE

S43.4

Sprain of shoulder joint

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
S43.40Unspecified sprain of shoulder jointCategory
S43.401Unspecified sprain of right shoulder jointCategory
S43.401AUnspecified sprain of right shoulder joint, initial encounterBillable
S43.401DUnspecified sprain of right shoulder joint, subsequent encounterBillable
S43.401SUnspecified sprain of right shoulder joint, sequelaBillable
S43.402Unspecified sprain of left shoulder jointCategory
S43.402AUnspecified sprain of left shoulder joint, initial encounterBillable
S43.402DUnspecified sprain of left shoulder joint, subsequent encounterBillable
S43.402SUnspecified sprain of left shoulder joint, sequelaBillable
S43.409Unspecified sprain of unspecified shoulder jointCategory
S43.409AUnspecified sprain of unspecified shoulder joint, initial encounterBillable
S43.409DUnspecified sprain of unspecified shoulder joint, subsequent encounterBillable
S43.409SUnspecified sprain of unspecified shoulder joint, sequelaBillable
S43.41Sprain of coracohumeral (ligament)Category
S43.411Sprain of right coracohumeral (ligament)Category
S43.411ASprain of right coracohumeral (ligament), initial encounterBillable
S43.411DSprain of right coracohumeral (ligament), subsequent encounterBillable
S43.411SSprain of right coracohumeral (ligament), sequelaBillable
S43.412Sprain of left coracohumeral (ligament)Category
S43.412ASprain of left coracohumeral (ligament), initial encounterBillable
S43.412DSprain of left coracohumeral (ligament), subsequent encounterBillable
S43.412SSprain of left coracohumeral (ligament), sequelaBillable
S43.419Sprain of unspecified coracohumeral (ligament)Category
S43.419ASprain of unspecified coracohumeral (ligament), initial encounterBillable
S43.419DSprain of unspecified coracohumeral (ligament), subsequent encounterBillable
S43.419SSprain of unspecified coracohumeral (ligament), sequelaBillable
S43.42Sprain of rotator cuff capsuleCategory
S43.421Sprain of right rotator cuff capsuleCategory
S43.421ASprain of right rotator cuff capsule, initial encounterBillable
S43.421DSprain of right rotator cuff capsule, subsequent encounterBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

Open official CMS files

ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.