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S43.203 ICD-10-CM Code: Unspecified subluxation of unspecified sternoclavicular joint

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the shoulder and upper arm (S40-S49)

S43.203

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Unspecified subluxation of unspecified sternoclavicular joint

Unspecified subluxation of unspecified sternoclavicular joint

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S43.2Subluxation and dislocation of sternoclavicular joint
S43.20Unspecified subluxation and dislocation of sternoclavicular joint
S43.203Unspecified subluxation of unspecified sternoclavicular joint

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S43.203 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S43.203 in this effective period.

Related Child Codes

Official
S43.203AUnspecified subluxation of unspecified sternoclavicular joint, initial encounter
S43.203DUnspecified subluxation of unspecified sternoclavicular joint, subsequent encounter
S43.203SUnspecified subluxation of unspecified sternoclavicular joint, sequela

Includes

Official

ICD-10-CM does not list Includes notes for S43.203 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S43.203 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S43.203 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S43.203 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S43.203 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S43.203 is the ICD-10-CM diagnosis code for unspecified subluxation of unspecified sternoclavicular joint. S43.203 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the shoulder and upper arm (s40-s49).

Header codes like S43.203 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S43.203's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S43.203 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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