CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

S43.492A Quick jump to specific ICD-10 (CM) Code: S43.492S


See Category: Injury, poisoning and certain other consequences of external causes

See Header: Other sprain of left shoulder joint

ICD-10 (CM) Code and Descriptor

S43.492D Other sprain of left shoulder joint, subsequent encounter

S43492D utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 9
ICD10
Position 10
ICD10
Position 11
36.75% 24.70% 20.78% 5.42% 6.63% 2.71% 1.20% 0.30% 0.90% 0.30%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for S43.492D*:

CPT
Description Number of Claims Sum Performed
97110
THERAPEUTIC EXERCISES 424 833
97140
MANUAL THERAPY 1/> REGIONS 244 281
97530
THERAPEUTIC ACTIVITIES 125 164
97112
NEUROMUSCULAR REEDUCATION 66 100
G0283
ELEC STIM OTHER THAN WOUND 55 55
97150
GROUP THERAPEUTIC PROCEDURES 41 41
97161
PT EVAL LOW COMPLEX 20 MIN 26 26
97016
VASOPNEUMATIC DEVICE THERAPY 24 24
G0463
HOSPITAL OUTPT CLINIC VISIT 20 20
97032
APPL MODALITY 1+ESTIM EA 15 17 17
97010
HOT OR COLD PACKS THERAPY 15 15
73221
MRI JOINT UPR EXTREM W/O DYE 11 11
97162
PT EVAL MOD COMPLEX 30 MIN 9 9
73030
X-RAY EXAM OF SHOULDER 8 8
20560
NDL INSJ W/O NJX 1 OR 2 MUSC 7 7
97035
APP MDLTY 1+ULTRASOUND EA 15 7 7
97164
PT RE-EVAL EST PLAN CARE 6 6
97012
MECHANICAL TRACTION THERAPY 6 6
97535
SELF CARE MNGMENT TRAINING 5 7
99213
OFFICE O/P EST LOW 20 MIN 5 5

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



S43.492D related to the following DRG Codes:

949-950






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.