Superficial injury of shoulder and upper arm
In Injuries to the shoulder and upper arm (S40-S49), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
144 billable codes under S40: none are a CC or MCC; none map to an HCC.
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Instructional notes
Also applies, from Injuries to the shoulder and upper arm (S40-S49)
These notes sit on S40-S49 and apply to every code under it, including S40.
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under S40
S40 can't be used on a claim. Pick a billable code below; grey headings group them.
- S40.0Contusion of shoulder and upper arm
- S40.01Contusion of shoulder
- S40.011Contusion of right shoulder
- S40.011AContusion of right shoulder, initial encounter
- S40.011DContusion of right shoulder, subsequent encounter
- S40.011SContusion of right shoulder, sequela
- S40.012Contusion of left shoulder
- S40.012AContusion of left shoulder, initial encounter
- S40.012DContusion of left shoulder, subsequent encounter
- S40.012SContusion of left shoulder, sequela
- S40.019Contusion of unspecified shoulder
- S40.019AContusion of unspecified shoulder, initial encounter
- S40.019DContusion of unspecified shoulder, subsequent encounter
- S40.019SContusion of unspecified shoulder, sequela
- S40.02Contusion of upper arm
- S40.021Contusion of right upper arm
- S40.021AContusion of right upper arm, initial encounter
- S40.021DContusion of right upper arm, subsequent encounter
- S40.021SContusion of right upper arm, sequela
- S40.022Contusion of left upper arm
- S40.022AContusion of left upper arm, initial encounter
- S40.022DContusion of left upper arm, subsequent encounter
- S40.022SContusion of left upper arm, sequela
- S40.029Contusion of unspecified upper arm
- S40.029AContusion of unspecified upper arm, initial encounter
- S40.029DContusion of unspecified upper arm, subsequent encounter
- S40.029SContusion of unspecified upper arm, sequela
- S40.2Other superficial injuries of shoulder
- S40.21Abrasion of shoulder
- S40.211Abrasion of right shoulder
- S40.211AAbrasion of right shoulder, initial encounter
- S40.211DAbrasion of right shoulder, subsequent encounter
- S40.211SAbrasion of right shoulder, sequela
- S40.212Abrasion of left shoulder
- S40.212AAbrasion of left shoulder, initial encounter
- S40.212DAbrasion of left shoulder, subsequent encounter
- S40.212SAbrasion of left shoulder, sequela
- S40.219Abrasion of unspecified shoulder
- S40.219AAbrasion of unspecified shoulder, initial encounter
- S40.219DAbrasion of unspecified shoulder, subsequent encounter
- S40.219SAbrasion of unspecified shoulder, sequela
- S40.22Blister (nonthermal) of shoulder
- S40.221Blister (nonthermal) of right shoulder
- S40.221ABlister (nonthermal) of right shoulder, initial encounter
- S40.221DBlister (nonthermal) of right shoulder, subsequent encounter
- S40.221SBlister (nonthermal) of right shoulder, sequela
- S40.222Blister (nonthermal) of left shoulder
- S40.222ABlister (nonthermal) of left shoulder, initial encounter
- S40.222DBlister (nonthermal) of left shoulder, subsequent encounter
- S40.222SBlister (nonthermal) of left shoulder, sequela
- S40.229Blister (nonthermal) of unspecified shoulder
- S40.229ABlister (nonthermal) of unspecified shoulder, initial encounter
- S40.229DBlister (nonthermal) of unspecified shoulder, subsequent encounter
- S40.229SBlister (nonthermal) of unspecified shoulder, sequela
- S40.24External constriction of shoulder
- S40.241External constriction of right shoulder
- S40.241AExternal constriction of right shoulder, initial encounter
- S40.241DExternal constriction of right shoulder, subsequent encounter
- S40.241SExternal constriction of right shoulder, sequela
- S40.242External constriction of left shoulder
- S40.242AExternal constriction of left shoulder, initial encounter
- S40.242DExternal constriction of left shoulder, subsequent encounter
- S40.242SExternal constriction of left shoulder, sequela
- S40.249External constriction of unspecified shoulder
- S40.249AExternal constriction of unspecified shoulder, initial encounter
- S40.249DExternal constriction of unspecified shoulder, subsequent encounter
- S40.249SExternal constriction of unspecified shoulder, sequela
- S40.25Superficial foreign body of shoulder
- S40.251Superficial foreign body of right shoulder
- S40.251ASuperficial foreign body of right shoulder, initial encounter
- S40.251DSuperficial foreign body of right shoulder, subsequent encounter
- S40.251SSuperficial foreign body of right shoulder, sequela
- S40.252Superficial foreign body of left shoulder
- S40.252ASuperficial foreign body of left shoulder, initial encounter
- S40.252DSuperficial foreign body of left shoulder, subsequent encounter
- S40.252SSuperficial foreign body of left shoulder, sequela
- S40.259Superficial foreign body of unspecified shoulder
- S40.259ASuperficial foreign body of unspecified shoulder, initial encounter
- S40.259DSuperficial foreign body of unspecified shoulder, subsequent encounter
- S40.259SSuperficial foreign body of unspecified shoulder, sequela
- S40.26Insect bite (nonvenomous) of shoulder
- S40.261Insect bite (nonvenomous) of right shoulder
- S40.261AInsect bite (nonvenomous) of right shoulder, initial encounter
- S40.261DInsect bite (nonvenomous) of right shoulder, subsequent encounter
- S40.261SInsect bite (nonvenomous) of right shoulder, sequela
- S40.262Insect bite (nonvenomous) of left shoulder
- S40.262AInsect bite (nonvenomous) of left shoulder, initial encounter
- S40.262DInsect bite (nonvenomous) of left shoulder, subsequent encounter
- S40.262SInsect bite (nonvenomous) of left shoulder, sequela
- S40.269Insect bite (nonvenomous) of unspecified shoulder
- S40.269AInsect bite (nonvenomous) of unspecified shoulder, initial encounter
- S40.269DInsect bite (nonvenomous) of unspecified shoulder, subsequent encounter
- S40.269SInsect bite (nonvenomous) of unspecified shoulder, sequela
- S40.27Other superficial bite of shoulder
- S40.271Other superficial bite of right shoulder
- S40.271AOther superficial bite of right shoulder, initial encounter
- S40.271DOther superficial bite of right shoulder, subsequent encounter
- S40.271SOther superficial bite of right shoulder, sequela
- S40.272Other superficial bite of left shoulder
- S40.272AOther superficial bite of left shoulder, initial encounter
- S40.272DOther superficial bite of left shoulder, subsequent encounter
- S40.272SOther superficial bite of left shoulder, sequela
- S40.279Other superficial bite of unspecified shoulder
- S40.279AOther superficial bite of unspecified shoulder, initial encounter
- S40.279DOther superficial bite of unspecified shoulder, subsequent encounter
- S40.279SOther superficial bite of unspecified shoulder, sequela
- S40.8Other superficial injuries of upper arm
- S40.81Abrasion of upper arm
- S40.811Abrasion of right upper arm
- S40.811AAbrasion of right upper arm, initial encounter
- S40.811DAbrasion of right upper arm, subsequent encounter
- S40.811SAbrasion of right upper arm, sequela
- S40.812Abrasion of left upper arm
- S40.812AAbrasion of left upper arm, initial encounter
- S40.812DAbrasion of left upper arm, subsequent encounter
- S40.812SAbrasion of left upper arm, sequela
- S40.819Abrasion of unspecified upper arm
- S40.819AAbrasion of unspecified upper arm, initial encounter
- S40.819DAbrasion of unspecified upper arm, subsequent encounter
- S40.819SAbrasion of unspecified upper arm, sequela
- S40.82Blister (nonthermal) of upper arm
- S40.821Blister (nonthermal) of right upper arm
- S40.821ABlister (nonthermal) of right upper arm, initial encounter
- S40.821DBlister (nonthermal) of right upper arm, subsequent encounter
- S40.821SBlister (nonthermal) of right upper arm, sequela
- S40.822Blister (nonthermal) of left upper arm
- S40.822ABlister (nonthermal) of left upper arm, initial encounter
- S40.822DBlister (nonthermal) of left upper arm, subsequent encounter
- S40.822SBlister (nonthermal) of left upper arm, sequela
- S40.829Blister (nonthermal) of unspecified upper arm
- S40.829ABlister (nonthermal) of unspecified upper arm, initial encounter
- S40.829DBlister (nonthermal) of unspecified upper arm, subsequent encounter
- S40.829SBlister (nonthermal) of unspecified upper arm, sequela
- S40.84External constriction of upper arm
- S40.841External constriction of right upper arm
- S40.841AExternal constriction of right upper arm, initial encounter
- S40.841DExternal constriction of right upper arm, subsequent encounter
- S40.841SExternal constriction of right upper arm, sequela
- S40.842External constriction of left upper arm
- S40.842AExternal constriction of left upper arm, initial encounter
- S40.842DExternal constriction of left upper arm, subsequent encounter
- S40.842SExternal constriction of left upper arm, sequela
- S40.849External constriction of unspecified upper arm
- S40.849AExternal constriction of unspecified upper arm, initial encounter
- S40.849DExternal constriction of unspecified upper arm, subsequent encounter
- S40.849SExternal constriction of unspecified upper arm, sequela
- S40.85Superficial foreign body of upper arm
- S40.851Superficial foreign body of right upper arm
- S40.851ASuperficial foreign body of right upper arm, initial encounter
- S40.851DSuperficial foreign body of right upper arm, subsequent encounter
- S40.851SSuperficial foreign body of right upper arm, sequela
- S40.852Superficial foreign body of left upper arm
- S40.852ASuperficial foreign body of left upper arm, initial encounter
- S40.852DSuperficial foreign body of left upper arm, subsequent encounter
- S40.852SSuperficial foreign body of left upper arm, sequela
- S40.859Superficial foreign body of unspecified upper arm
- S40.859ASuperficial foreign body of unspecified upper arm, initial encounter
- S40.859DSuperficial foreign body of unspecified upper arm, subsequent encounter
- S40.859SSuperficial foreign body of unspecified upper arm, sequela
- S40.86Insect bite (nonvenomous) of upper arm
- S40.861Insect bite (nonvenomous) of right upper arm
- S40.861AInsect bite (nonvenomous) of right upper arm, initial encounter
- S40.861DInsect bite (nonvenomous) of right upper arm, subsequent encounter
- S40.861SInsect bite (nonvenomous) of right upper arm, sequela
- S40.862Insect bite (nonvenomous) of left upper arm
- S40.862AInsect bite (nonvenomous) of left upper arm, initial encounter
- S40.862DInsect bite (nonvenomous) of left upper arm, subsequent encounter
- S40.862SInsect bite (nonvenomous) of left upper arm, sequela
- S40.869Insect bite (nonvenomous) of unspecified upper arm
- S40.869AInsect bite (nonvenomous) of unspecified upper arm, initial encounter
- S40.869DInsect bite (nonvenomous) of unspecified upper arm, subsequent encounter
- S40.869SInsect bite (nonvenomous) of unspecified upper arm, sequela
- S40.87Other superficial bite of upper arm
- S40.871Other superficial bite of right upper arm
- S40.871AOther superficial bite of right upper arm, initial encounter
- S40.871DOther superficial bite of right upper arm, subsequent encounter
- S40.871SOther superficial bite of right upper arm, sequela
- S40.872Other superficial bite of left upper arm
- S40.872AOther superficial bite of left upper arm, initial encounter
- S40.872DOther superficial bite of left upper arm, subsequent encounter
- S40.872SOther superficial bite of left upper arm, sequela
- S40.879Other superficial bite of unspecified upper arm
- S40.879AOther superficial bite of unspecified upper arm, initial encounter
- S40.879DOther superficial bite of unspecified upper arm, subsequent encounter
- S40.879SOther superficial bite of unspecified upper arm, sequela
- S40.9Unspecified superficial injury of shoulder and upper arm
- S40.91Unspecified superficial injury of shoulder
- S40.911Unspecified superficial injury of right shoulder
- S40.911AUnspecified superficial injury of right shoulder, initial encounter
- S40.911DUnspecified superficial injury of right shoulder, subsequent encounter
- S40.911SUnspecified superficial injury of right shoulder, sequela
- S40.912Unspecified superficial injury of left shoulder
- S40.912AUnspecified superficial injury of left shoulder, initial encounter
- S40.912DUnspecified superficial injury of left shoulder, subsequent encounter
- S40.912SUnspecified superficial injury of left shoulder, sequela
- S40.919Unspecified superficial injury of unspecified shoulder
- S40.919AUnspecified superficial injury of unspecified shoulder, initial encounter
- S40.919DUnspecified superficial injury of unspecified shoulder, subsequent encounter
- S40.919SUnspecified superficial injury of unspecified shoulder, sequela
- S40.92Unspecified superficial injury of upper arm
- S40.921Unspecified superficial injury of right upper arm
- S40.921AUnspecified superficial injury of right upper arm, initial encounter
- S40.921DUnspecified superficial injury of right upper arm, subsequent encounter
- S40.921SUnspecified superficial injury of right upper arm, sequela
- S40.922Unspecified superficial injury of left upper arm
- S40.922AUnspecified superficial injury of left upper arm, initial encounter
- S40.922DUnspecified superficial injury of left upper arm, subsequent encounter
- S40.922SUnspecified superficial injury of left upper arm, sequela
- S40.929Unspecified superficial injury of unspecified upper arm
- S40.929AUnspecified superficial injury of unspecified upper arm, initial encounter
- S40.929DUnspecified superficial injury of unspecified upper arm, subsequent encounter
- S40.929SUnspecified superficial injury of unspecified upper arm, sequela
S40 MS-DRGs
As the principal diagnosis, the billable codes under S40 group to these 9 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC (90 of 144 codes)
- DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (90 of 144 codes)
- DRG 949 Aftercare with CC/MCC (48 of 144 codes)
- DRG 950 Aftercare without CC/MCC (48 of 144 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (48 of 144 codes)
- DRG 964 Other Multiple Significant Trauma with CC (48 of 144 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (48 of 144 codes)
- DRG 606 Minor Skin Disorders with MCC (6 of 144 codes)
- DRG 607 Minor Skin Disorders without MCC (6 of 144 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Wounds and Injuries
An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.
Read more about wounds and injuries on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
