ICD-10-CM Section S40-S49
Injuries to the shoulder and upper arm
- S40 Superficial injury of shoulder and upper arm NON-BILLABLE
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- S40.01 Contusion of shoulder NON-BILLABLE
- S40.02 Contusion of upper arm NON-BILLABLE
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- S40.21 Abrasion of shoulder NON-BILLABLE
- S40.22 Blister (nonthermal) of shoulder NON-BILLABLE
- S40.24 External constriction of shoulder NON-BILLABLE
- S40.25 Superficial foreign body of shoulder NON-BILLABLE
- S40.26 Insect bite (nonvenomous) of shoulder NON-BILLABLE
- S40.27 Other superficial bite of shoulder NON-BILLABLE
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- S40.81 Abrasion of upper arm NON-BILLABLE
- S40.82 Blister (nonthermal) of upper arm NON-BILLABLE
- S40.84 External constriction of upper arm NON-BILLABLE
- S40.85 Superficial foreign body of upper arm NON-BILLABLE
- S40.86 Insect bite (nonvenomous) of upper arm NON-BILLABLE
- S40.87 Other superficial bite of upper arm NON-BILLABLE
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- S40.91 Unspecified superficial injury of shoulder NON-BILLABLE
- S40.92 Unspecified superficial injury of upper arm NON-BILLABLE
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- S41 Open wound of shoulder and upper arm NON-BILLABLE
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- S41.00 Unspecified open wound of shoulder NON-BILLABLE
- S41.01 Laceration without foreign body of shoulder NON-BILLABLE
- S41.02 Laceration with foreign body of shoulder NON-BILLABLE
- S41.03 Puncture wound without foreign body of shoulder NON-BILLABLE
- S41.04 Puncture wound with foreign body of shoulder NON-BILLABLE
- S41.05 Open bite of shoulder NON-BILLABLE
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- S41.10 Unspecified open wound of upper arm NON-BILLABLE
- S41.11 Laceration without foreign body of upper arm NON-BILLABLE
- S41.12 Laceration with foreign body of upper arm NON-BILLABLE
- S41.13 Puncture wound without foreign body of upper arm NON-BILLABLE
- S41.14 Puncture wound with foreign body of upper arm NON-BILLABLE
- S41.15 Open bite of upper arm NON-BILLABLE
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- S42 Fracture of shoulder and upper arm NON-BILLABLE
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- S42.00 Fracture of unspecified part of clavicle NON-BILLABLE
- S42.01 Fracture of sternal end of clavicle NON-BILLABLE
- S42.02 Fracture of shaft of clavicle NON-BILLABLE
- S42.03 Fracture of lateral end of clavicle NON-BILLABLE
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- S42.10 Fracture of unspecified part of scapula NON-BILLABLE
- S42.11 Fracture of body of scapula NON-BILLABLE
- S42.12 Fracture of acromial process NON-BILLABLE
- S42.13 Fracture of coracoid process NON-BILLABLE
- S42.14 Fracture of glenoid cavity of scapula NON-BILLABLE
- S42.15 Fracture of neck of scapula NON-BILLABLE
- S42.19 Fracture of other part of scapula NON-BILLABLE
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- S42.20 Unspecified fracture of upper end of humerus NON-BILLABLE
- S42.21 Unspecified fracture of surgical neck of humerus NON-BILLABLE
- S42.22 2-part fracture of surgical neck of humerus NON-BILLABLE
- S42.23 3-part fracture of surgical neck of humerus NON-BILLABLE
- S42.24 4-part fracture of surgical neck of humerus NON-BILLABLE
- S42.25 Fracture of greater tuberosity of humerus NON-BILLABLE
- S42.26 Fracture of lesser tuberosity of humerus NON-BILLABLE
- S42.27 Torus fracture of upper end of humerus NON-BILLABLE
- S42.29 Other fracture of upper end of humerus NON-BILLABLE
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- S42.30 Unspecified fracture of shaft of humerus NON-BILLABLE
- S42.31 Greenstick fracture of shaft of humerus NON-BILLABLE
- S42.32 Transverse fracture of shaft of humerus NON-BILLABLE
- S42.33 Oblique fracture of shaft of humerus NON-BILLABLE
- S42.34 Spiral fracture of shaft of humerus NON-BILLABLE
- S42.35 Comminuted fracture of shaft of humerus NON-BILLABLE
- S42.36 Segmental fracture of shaft of humerus NON-BILLABLE
- S42.39 Other fracture of shaft of humerus NON-BILLABLE
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- S42.40 Unspecified fracture of lower end of humerus NON-BILLABLE
- S42.41 Simple supracondylar fracture without intercondylar fracture of humerus NON-BILLABLE
- S42.42 Comminuted supracondylar fracture without intercondylar fracture of humerus NON-BILLABLE
- S42.43 Fracture (avulsion) of lateral epicondyle of humerus NON-BILLABLE
- S42.44 Fracture (avulsion) of medial epicondyle of humerus NON-BILLABLE
- S42.45 Fracture of lateral condyle of humerus NON-BILLABLE
- S42.46 Fracture of medial condyle of humerus NON-BILLABLE
- S42.47 Transcondylar fracture of humerus NON-BILLABLE
- S42.48 Torus fracture of lower end of humerus NON-BILLABLE
- S42.49 Other fracture of lower end of humerus NON-BILLABLE
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- S43 Dislocation and sprain of joints and ligaments of shoulder girdle NON-BILLABLE
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- S43.00 Unspecified subluxation and dislocation of shoulder joint NON-BILLABLE
- S43.01 Anterior subluxation and dislocation of humerus NON-BILLABLE
- S43.02 Posterior subluxation and dislocation of humerus NON-BILLABLE
- S43.03 Inferior subluxation and dislocation of humerus NON-BILLABLE
- S43.08 Other subluxation and dislocation of shoulder joint NON-BILLABLE
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- S43.10 Unspecified dislocation of acromioclavicular joint NON-BILLABLE
- S43.11 Subluxation of acromioclavicular joint NON-BILLABLE
- S43.12 Dislocation of acromioclavicular joint, 100%-200% displacement NON-BILLABLE
- S43.13 Dislocation of acromioclavicular joint, greater than 200% displacement NON-BILLABLE
- S43.14 Inferior dislocation of acromioclavicular joint NON-BILLABLE
- S43.15 Posterior dislocation of acromioclavicular joint NON-BILLABLE
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- S43.40 Unspecified sprain of shoulder joint NON-BILLABLE
- S43.41 Sprain of coracohumeral (ligament) NON-BILLABLE
- S43.42 Sprain of rotator cuff capsule NON-BILLABLE
- S43.43 Superior glenoid labrum lesion NON-BILLABLE
- S43.49 Other sprain of shoulder joint NON-BILLABLE
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- S44 Injury of nerves at shoulder and upper arm level NON-BILLABLE
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- S45 Injury of blood vessels at shoulder and upper arm level NON-BILLABLE
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- S45.00 Unspecified injury of axillary artery NON-BILLABLE
- S45.01 Laceration of axillary artery NON-BILLABLE
- S45.09 Other specified injury of axillary artery NON-BILLABLE
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- S45.10 Unspecified injury of brachial artery NON-BILLABLE
- S45.11 Laceration of brachial artery NON-BILLABLE
- S45.19 Other specified injury of brachial artery NON-BILLABLE
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- S45.20 Unspecified injury of axillary or brachial vein NON-BILLABLE
- S45.21 Laceration of axillary or brachial vein NON-BILLABLE
- S45.29 Other specified injury of axillary or brachial vein NON-BILLABLE
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- S45.80 Unspecified injury of other specified blood vessels at shoulder and upper arm level NON-BILLABLE
- S45.81 Laceration of other specified blood vessels at shoulder and upper arm level NON-BILLABLE
- S45.89 Other specified injury of other specified blood vessels at shoulder and upper arm level NON-BILLABLE
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- S46 Injury of muscle, fascia and tendon at shoulder and upper arm level NON-BILLABLE
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- S46.00 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of shoulder NON-BILLABLE
- S46.01 Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder NON-BILLABLE
- S46.02 Laceration of muscle(s) and tendon(s) of the rotator cuff of shoulder NON-BILLABLE
- S46.09 Other injury of muscle(s) and tendon(s) of the rotator cuff of shoulder NON-BILLABLE
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- S46.10 Unspecified injury of muscle, fascia and tendon of long head of biceps NON-BILLABLE
- S46.11 Strain of muscle, fascia and tendon of long head of biceps NON-BILLABLE
- S46.12 Laceration of muscle, fascia and tendon of long head of biceps NON-BILLABLE
- S46.19 Other injury of muscle, fascia and tendon of long head of biceps NON-BILLABLE
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- S46.20 Unspecified injury of muscle, fascia and tendon of other parts of biceps NON-BILLABLE
- S46.21 Strain of muscle, fascia and tendon of other parts of biceps NON-BILLABLE
- S46.22 Laceration of muscle, fascia and tendon of other parts of biceps NON-BILLABLE
- S46.29 Other injury of muscle, fascia and tendon of other parts of biceps NON-BILLABLE
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- S46.80 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level NON-BILLABLE
- S46.81 Strain of other muscles, fascia and tendons at shoulder and upper arm level NON-BILLABLE
- S46.82 Laceration of other muscles, fascia and tendons at shoulder and upper arm level NON-BILLABLE
- S46.89 Other injury of other muscles, fascia and tendons at shoulder and upper arm level NON-BILLABLE
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- S46.90 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level NON-BILLABLE
- S46.91 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level NON-BILLABLE
- S46.92 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level NON-BILLABLE
- S46.99 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level NON-BILLABLE
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- S48 Traumatic amputation of shoulder and upper arm NON-BILLABLE
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- S48.01 Complete traumatic amputation at shoulder joint NON-BILLABLE
- S48.02 Partial traumatic amputation at shoulder joint NON-BILLABLE
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- S49 Other and unspecified injuries of shoulder and upper arm NON-BILLABLE
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- S49.00 Unspecified physeal fracture of upper end of humerus NON-BILLABLE
- S49.01 Salter-Harris Type I physeal fracture of upper end of humerus NON-BILLABLE
- S49.02 Salter-Harris Type II physeal fracture of upper end of humerus NON-BILLABLE
- S49.03 Salter-Harris Type III physeal fracture of upper end of humerus NON-BILLABLE
- S49.04 Salter-Harris Type IV physeal fracture of upper end of humerus NON-BILLABLE
- S49.09 Other physeal fracture of upper end of humerus NON-BILLABLE
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- S49.10 Unspecified physeal fracture of lower end of humerus NON-BILLABLE
- S49.11 Salter-Harris Type I physeal fracture of lower end of humerus NON-BILLABLE
- S49.12 Salter-Harris Type II physeal fracture of lower end of humerus NON-BILLABLE
- S49.13 Salter Harris Type III physeal fracture of lower end of humerus NON-BILLABLE
- S49.14 Salter-Harris Type IV physeal fracture of lower end of humerus NON-BILLABLE
- S49.19 Other physeal fracture of lower end of humerus NON-BILLABLE
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Coding Notes for Section S40-S49
- Section Notes:
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
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Additional Code Note:
Use Additional Code
Use Additional Code note means a second code must be used in conjunction with this code. Codes with this note are Etiology codes and must be followed by a Manifestation code or codes. - Code to identify any retained foreign body, if applicable See code Z18.-
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Section Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here." - Birth trauma - instead, use Section P10-P15
- Obstetric trauma - instead, use Section O70-O71