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Home/Diagnosis/ICD-10 Coding for Acromioclavicular Joint Sprain

ICD-10 Coding for Acromioclavicular Joint Sprain

S43.50X
S43.51X
S43.52X

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acromioclavicular joint sprain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
AC Joint Sprain
Shoulder Sprain
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Key Information: ICD-10 Coding for Acromioclavicular Joint Sprain

Essential facts and insights about ICD-10 Coding for Acromioclavicular Joint Sprain

Use ICD-10 code S43.50X for sprain of unspecified acromioclavicular joint, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of unspecified acromioclavicular joint

Non-Billable
S43.50X
Non-Billable

Diagnostic Criteria

  • • Laterality must be specified if known.

Applicable To

  • • Unspecified AC joint sprain

Important Notes

  • • Ensure to document the mechanism of injury and symptoms.

Sprain of right acromioclavicular joint

Non-Billable
S43.51X
Non-Billable

Applicable To

  • • Right AC joint sprain

Important Notes

  • • Document the encounter type (initial, subsequent, sequela).

Sprain of left acromioclavicular joint

Non-Billable
S43.52X
Non-Billable

Applicable To

  • • Left AC joint sprain

Important Notes

  • • Ensure documentation includes mechanism of injury.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z16.1-

Activity codes

Use to specify the activity during which the injury occurred.

W00-W19

External cause codes for falls

Document the cause of the injury.

M25.51-

Pain in shoulder

Use if pain persists beyond initial treatment.

Frequently Asked Questions

What is the ICD-10 code for an AC joint sprain?

The ICD-10 codes for an AC joint sprain are S43.50X for unspecified, S43.51X for right, and S43.52X for left AC joint sprains.

How do you document an AC joint sprain?

Document the specific joint, laterality, encounter type, mechanism of injury, and clinical findings such as tenderness and imaging results.

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