ICD-10-CM Billable Code

S43.311

Subluxation of right scapula

Clinical Classification Guidelines

Medical Intelligence & Overview

Subluxation of the right scapula refers to a partial dislocation of the shoulder blade on the right side. The scapula, or shoulder blade, is a flat bone located on the back of your shoulder that connects the humerus (upper arm bone) with the clavicle (collarbone). When it experiences subluxation, the alignment between the scapula and shoulder joint is compromised, leading to discomfort and limited movement. This condition can result from trauma or repetitive strain and requires careful management to restore normal function and prevent further injury.

Causes & Symptoms

Clinical Causes: Traumatic injury, such as a fall or blow to the shoulder Sports-related activities involving forceful shoulder movements Sudden or excessive overhead arm movements Repetitive shoulder strain or overuse Previous shoulder injuries weakening the supporting structures Ligament or muscle weakness around the scapula

Key Symptoms: Pain around the shoulder blade and shoulder joint Limited range of motion in the shoulder A feeling of instability or weakness in the shoulder Visible or palpable protrusion or irregularity of the shoulder blade Muscle tenderness around the scapula Difficulty performing activities that involve arm rotation or lifting

Diagnostic & Treatment

Diagnosis Path: Diagnosing a subluxation of the right scapula involves a physical examination and review of medical history. Healthcare providers may perform specific maneuvers to assess shoulder stability and movement. Imaging studies, such as X-rays, are used to confirm the displacement, rule out fractures, and evaluate the extent of the injury. Occasionally, MRI scans may be utilized to examine soft tissue components like muscles and ligaments supporting the shoulder blade.

Treatment Protocols: Management of right scapular subluxation typically includes non-surgical approaches aimed at reducing pain, restoring stability, and strengthening the shoulder. Treatment options may encompass:

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 S43.311 a billable ICD-10 code?
Yes, S43.311 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S43.311?
Clinical documentation must specify the nature of Subluxation of right scapula and any associated comorbidities for accurate reporting.

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