ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 S23

Non-Billable Header

Dislocation and sprain of joints and ligaments of thorax

S23
Block
0
Synonyms
0
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM S23

ICD-10-CM code S23 represents Dislocation and sprain of joints and ligaments of thorax. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S23). The 2026 edition of ICD-10-CM S23 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Coding Tips for S23

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Injury chapter (S00-T88): 7th character extension required

Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.

Type 2 Excludes

Not included here, the excluded code is not part of S23, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • dislocation, sprain of sternoclavicular joint (S43.2, S43.6)
  • strain of muscle or tendon of thorax (S29.01-)

Includes

  • avulsion of joint or ligament of thorax
  • laceration of cartilage, joint or ligament of thorax
  • sprain of cartilage, joint or ligament of thorax
  • traumatic hemarthrosis of joint or ligament of thorax
  • traumatic rupture of joint or ligament of thorax
  • traumatic subluxation of joint or ligament of thorax
  • traumatic tear of joint or ligament of thorax

Coding Notes

Code Also

  • any associated open wound

Seven Chr Note

  • The appropriate 7th character is to be added to each code from category S23

Medicare LCD Coverage for S23

Local Coverage Determinations (LCDs) from CMS MACs that list S23 as a covered diagnosis.

No Medicare LCDs reference S23 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing S23.

5 policies

2 Aetna

Aldesleukin (Proleukin) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0024
Nutritional Support - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0061

3 Cigna

Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
Policy ID: MM_0178
Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525
Tissue Engineered Skin Substitutes - (0068)
Policy ID: MM_0068

CPT Codes Commonly Billed with S23

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for S23

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 S23, Billing FAQ

Is ICD-10 code S23 billable? +

No, S23 is a non-billable header code. Use a more specific child code from block S23 when submitting claims.

What codes are Type 2 Excludes for S23? +

Type 2 Excludes (may be coded together when both conditions exist): dislocation, sprain of sternoclavicular joint (S43.2, S43.6); strain of muscle or tendon of thorax (S29.01-)

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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