S43.4

Non-billable

Sprain of shoulder joint

S43.4 is the ICD-10-CM code for Sprain of shoulder joint. It is a non-billable category code — use a more specific child code such as S43.40 for billing.

Status
Header (non-billable)
Chapter
S00-T88
Parent
S43
Subcodes
5
Edition
FY2026

S00-T88 Injury, poisoning and certain other consequences of external causes

What this means — in plain language

MedlinePlus · NIH

Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.…

Read more about Shoulder Injuries and Disorders at MedlinePlus ↗

Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.

No additional coding notes for this code.

Frequently asked questions

What is ICD-10 code S43.4?
S43.4 is the ICD-10-CM code for "Sprain of shoulder joint". It falls under S00-T88 Injury, poisoning and certain other consequences of external causes.
Is S43.4 a billable code?
No — S43.4 is a non-billable header code. Use a more specific child code (such as S43.40) for billing.
What are the subcodes of S43.4?
S43.4 has 5 more specific child codes, including S43.40, S43.41, S43.42.

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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