ICD-10 Coding for Right Shoulder Dislocation(S43.004A, S43.014A)
Complete ICD-10-CM coding and documentation guide for Right Shoulder Dislocation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Shoulder Dislocation
S43.0-S43.2Primary Range
Dislocation and sprain of joints and ligaments of shoulder girdle
This range includes specific codes for shoulder dislocations, including laterality and type.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S43.004A | Unspecified dislocation of right shoulder joint, initial encounter | Use when the type of dislocation is not specified in the documentation. |
|
| S43.014A | Anterior dislocation of right shoulder joint, initial encounter | Use when anterior dislocation is confirmed by imaging. |
|
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 right shoulder dislocation
Essential facts and insights about Right Shoulder Dislocation
Primary ICD-10-CM Codes for right shoulder dislocation
Decision Criteria
documentation Criteria
- Laterality and encounter type must be documented.
Applicable To
- Right shoulder dislocation, type not specified
Excludes
- Acromioclavicular dislocation (S43.2-)
Clinical Validation Requirements
- Imaging confirmation of dislocation
- Documentation of laterality
Code-Specific Risks
- Risk of using unspecified code when details are available
Coding Notes
- Ensure laterality and encounter type are documented.
S43.014A - Anterior dislocation of right shoulder joint, initial encounter
Use when anterior dislocation is confirmed by imaging.
Applicable To
- Anterior dislocation of right shoulder
Excludes
- Posterior dislocation (S43.024A)
Clinical Validation Requirements
- X-ray or MRI confirmation of anterior dislocation
- Documentation of reduction method
Coding Notes
Ensure the type of dislocation is specified.
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 Right Shoulder Dislocation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S43.004A.
Impact
Clinical: Leads to incomplete documentation of care provided., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential denial of claims due to incomplete coding.
Mitigation Strategy
Always append the correct 7th character for encounter type.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit due to non-specific coding., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always document and code the specific type of dislocation when possible.
Impact
High audit risk if unspecified codes are used without justification.
Mitigation Strategy
Ensure documentation supports the specificity of the code used.
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 Right Shoulder Dislocation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Shoulder Dislocation
Use these documentation templates to ensure complete and accurate documentation for Right Shoulder Dislocation. These templates include all required elements for proper coding and billing.
Initial encounter for right shoulder dislocation
Specialty: Emergency MedicineRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- Procedure details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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