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ICD-10-CM 2027 diagnosis code

S43.314SDislocation of right scapula, sequela

✓ Billable / specificPOA exemptRequires 7th character

S43.314S is a valid, billable ICD-10-CM code for dislocation of right scapula, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S43.314S

S43.314S is the ICD-10-CM diagnosis code for dislocation of right scapula, sequela. It belongs to category S43 (dislocation and sprain of joints and ligaments of shoulder girdle), block S40-S49 (injuries to the shoulder and upper arm) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 562 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC, relative weight 1.398) and DRG 563 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC, relative weight 0.8985), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 905.6 (late effect of dislocation).

7th character

Ssequela

Other encounter types for S43.314:

Notes that apply from higher levels

Instructions written at a parent level also apply to S43.314S.

› From S43 Dislocation and sprain of joints and ligaments of shoulder girdle
Includes
  • avulsion of joint or ligament of shoulder girdle
  • laceration of cartilage, joint or ligament of shoulder girdle
  • sprain of cartilage, joint or ligament of shoulder girdle
  • traumatic hemarthrosis of joint or ligament of shoulder girdle
  • traumatic rupture of joint or ligament of shoulder girdle
  • traumatic subluxation of joint or ligament of shoulder girdle
  • traumatic tear of joint or ligament of shoulder girdle
Excludes2
  • strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)
Code also
  • any associated open wound

Broader instructions also apply from S40-S49 Injuries to the shoulder and upper arm and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 905.6Late effect of dislocationapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S43.314S

Is S43.314S billable?

Yes. S43.314S is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "S" at the end of S43.314S mean?

It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.

Can S43.314S be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S43.314S as a principal diagnosis.

Is S43.314S a CC or MCC?

No. S43.314S is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S43.314S group to?

S43.314S is used in the MS-DRG v44.0 logic for MS-DRG 562 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC) and MS-DRG 563 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S43.314S?

The CMS General Equivalence Mappings map S43.314S to ICD-9-CM 905.6.