ICD-10-CM Billable Code

S43.122

Dislocation of left acromioclavicular joint, 100%-200% displacement

Clinical Classification Guidelines

Medical Intelligence & Overview

A dislocation of the acromioclavicular (AC) joint involves the displacement of the collarbone (clavicle) from the shoulder blade (scapula) at the joint where these bones meet. Specifically, an S43.122 diagnosis refers to a significant dislocation of the left AC joint, characterized by a displacement of 100% to 200%, indicating a major displacement that can impact shoulder function and mobility.

Causes & Symptoms

Clinical Causes: Direct trauma or blow to the shoulder from falls, sports injuries, or accidents Forceful impact during contact sports such as football or hockey Heavy lifting or sudden lifting injuries causing shoulder strain Falls onto the shoulder or outstretched hand Accidents involving motor vehicles

Key Symptoms: Immediate shoulder pain and tenderness Visible deformity or bump at the top of the shoulder Swelling and bruising around the shoulder joint Limited shoulder movement or difficulty moving the arm Possible numbness or tingling if nerves are affected Weakness in the affected arm

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination assessing shoulder deformity, swelling, and range of motion. Imaging studies such as X-rays are essential to confirm the dislocation's extent and location, and to differentiate it from other shoulder injuries. The X-ray can reveal the degree of displacement, specifically noting a 100% to 200% displacement in this case, indicating a severe dislocation.

Treatment Protocols: Rest and immobilization with a shoulder sling to support and limit movement Application of ice packs to reduce swelling and pain Pain relievers or anti-inflammatory medications prescribed by a healthcare professional Physical therapy to restore shoulder strength, flexibility, and function after initial healing In more severe cases or if conservative treatments fail, surgical intervention may be necessary to realign the bones and stabilize the joint

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S43.122 a billable ICD-10 code?
Yes, S43.122 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S43.122?
Clinical documentation must specify the nature of Dislocation of left acromioclavicular joint, 100%-200% displacement and any associated comorbidities for accurate reporting.

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