ICD-10-CM Billable Code

S43.112

Subluxation of left acromioclavicular joint

Clinical Classification Guidelines

Medical Intelligence & Overview

Subluxation of the left acromioclavicular joint is a shoulder injury involving partial dislocation where the clavicle (collarbone) weakly shifts out of its normal position against the acromion, part of the shoulder blade. This condition affects the stability and function of the shoulder joint, often resulting from trauma or injury. Recognizing the symptoms and understanding potential causes can aid in seeking proper treatment.

Causes & Symptoms

Clinical Causes: Direct trauma to the shoulder, such as a fall onto the shoulder or a direct blow Sports injuries involving shoulder impact or falls Accidental falls where the shoulder bears the brunt of the impact Heavy lifting or sudden movements that place stress on the shoulder joint Repetitive overhead activities leading to joint strain

Key Symptoms: Pain at the top of the shoulder, especially near the AC joint Tenderness when touching the shoulder area Swelling around the acromioclavicular joint Weakness or limited range of motion in the shoulder A sensation of the shoulder feeling unstable or slipping Possible deformity or noticeable bump if the joint is visibly shifted Discomfort during elevating the arm or reaching across the body

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare provider, who will assess shoulder stability, tenderness, and deformity. Imaging tests such as X-rays are essential to confirm subluxation, detail the extent of joint displacement, and rule out complete dislocation or other injuries. Sometimes, additional imaging like MRI may be used to evaluate soft tissue damage around the joint.

Treatment Protocols: Treatment options aim to relieve pain, restore stability, and promote healing. Common approaches include: - Rest and ice application to reduce swelling - Use of a shoulder immobilizer or sling to support the arm and limit movement - Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief - Physical therapy exercises to strengthen shoulder muscles and improve joint stability - Gradual return to activities with guided rehabilitation - In severe or persistent cases, surgical intervention such as stabilization procedures may be considered to restore joint integrity and function. Follow-up care is critical to ensure proper healing, prevent future injuries, and regain full shoulder mobility.

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 S43.112 a billable ICD-10 code?
Yes, S43.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S43.112?
Clinical documentation must specify the nature of Subluxation of left acromioclavicular joint and any associated comorbidities for accurate reporting.

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