ICD-10 Coding for Dislocated Left Shoulder(S43.005A, S43.152A)
Complete ICD-10-CM coding and documentation guide for Dislocated Left Shoulder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dislocated Left Shoulder
S43.0-S43.4Primary Range
Dislocation and sprain of joints and ligaments of shoulder girdle
This range includes specific codes for dislocations of the shoulder, including the glenohumeral and acromioclavicular joints.
Fracture of upper end of humerus
This range is relevant when a fracture accompanies the dislocation, such as a Hill-Sachs lesion.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S43.005A | Unspecified dislocation of left shoulder joint, initial encounter | Use when the type of dislocation is not specified in the documentation. |
|
| S43.152A | Posterior dislocation of left acromioclavicular joint, initial encounter | Use when documentation specifies posterior dislocation of the acromioclavicular joint. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for dislocated left shoulder
Essential facts and insights about Dislocated Left Shoulder
Primary ICD-10-CM Codes for dislocated left shoulder
Decision Criteria
documentation Criteria
- Documentation lacks specific type of dislocation.
Applicable To
- Unspecified dislocation of left shoulder
Excludes
- Fracture of upper end of humerus (S42.2-)
Clinical Validation Requirements
- Clinical examination indicating dislocation
- X-ray or MRI confirming dislocation
Code-Specific Risks
- Risk of audit if more specific information is available but not used.
Coding Notes
- Ensure documentation specifies laterality and encounter type.
S43.152A - Posterior dislocation of left acromioclavicular joint, initial encounter
Use when documentation specifies posterior dislocation of the acromioclavicular joint.
Applicable To
- Posterior dislocation of left acromioclavicular joint
Excludes
- Fracture of clavicle (S42.0-)
Clinical Validation Requirements
- Imaging showing posterior displacement
- Physical exam noting 'popping' sensation
Coding Notes
Ensure imaging confirms the specific type of dislocation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dislocated Left Shoulder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S43.005A.
Impact
Clinical: May affect treatment decisions., Regulatory: Increases risk of audit., Financial: Potential for denied claims.
Mitigation Strategy
Include detailed history of present illness., Document patient account of injury.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation includes specific joint and type of dislocation.
Impact
High risk of audit if unspecified codes are used when specific information is available.
Mitigation Strategy
Ensure thorough documentation and use of specific codes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Dislocated Left Shoulder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dislocated Left Shoulder
Use these documentation templates to ensure complete and accurate documentation for Dislocated Left Shoulder. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Shoulder Dislocation
Specialty: Emergency MedicineRequired Elements
- Type of dislocation
- Laterality
- Mechanism of injury
- Imaging results
- Treatment provided
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Dislocated Left Shoulder? Ask your questions below.