S41Not billable, use a more specific code below
Open wound 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
108 billable codes under S41: none are a CC or MCC; none map to an HCC.
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Instructional notes
Excludes1: not coded here, use a different code
- traumatic amputation of shoulder and upper arm (S48.-)
Excludes2: not included here, code separately if applicable
- open fracture of shoulder and upper arm (S42.- with 7th character B or C)
Code also: add a code for this too, order depends on the encounter
- any associated wound infection
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 S41.
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 S41
S41 can't be used on a claim. Pick a billable code below; grey headings group them.
- S41.0Open wound of shoulder
- S41.00Unspecified open wound of shoulder
- S41.001Unspecified open wound of right shoulder
- S41.001AUnspecified open wound of right shoulder, initial encounter
- S41.001DUnspecified open wound of right shoulder, subsequent encounter
- S41.001SUnspecified open wound of right shoulder, sequela
- S41.002Unspecified open wound of left shoulder
- S41.002AUnspecified open wound of left shoulder, initial encounter
- S41.002DUnspecified open wound of left shoulder, subsequent encounter
- S41.002SUnspecified open wound of left shoulder, sequela
- S41.009Unspecified open wound of unspecified shoulder
- S41.009AUnspecified open wound of unspecified shoulder, initial encounter
- S41.009DUnspecified open wound of unspecified shoulder, subsequent encounter
- S41.009SUnspecified open wound of unspecified shoulder, sequela
- S41.01Laceration without foreign body of shoulder
- S41.011Laceration without foreign body of right shoulder
- S41.011ALaceration without foreign body of right shoulder, initial encounter
- S41.011DLaceration without foreign body of right shoulder, subsequent encounter
- S41.011SLaceration without foreign body of right shoulder, sequela
- S41.012Laceration without foreign body of left shoulder
- S41.012ALaceration without foreign body of left shoulder, initial encounter
- S41.012DLaceration without foreign body of left shoulder, subsequent encounter
- S41.012SLaceration without foreign body of left shoulder, sequela
- S41.019Laceration without foreign body of unspecified shoulder
- S41.019ALaceration without foreign body of unspecified shoulder, initial encounter
- S41.019DLaceration without foreign body of unspecified shoulder, subsequent encounter
- S41.019SLaceration without foreign body of unspecified shoulder, sequela
- S41.02Laceration with foreign body of shoulder
- S41.021Laceration with foreign body of right shoulder
- S41.021ALaceration with foreign body of right shoulder, initial encounter
- S41.021DLaceration with foreign body of right shoulder, subsequent encounter
- S41.021SLaceration with foreign body of right shoulder, sequela
- S41.022Laceration with foreign body of left shoulder
- S41.022ALaceration with foreign body of left shoulder, initial encounter
- S41.022DLaceration with foreign body of left shoulder, subsequent encounter
- S41.022SLaceration with foreign body of left shoulder, sequela
- S41.029Laceration with foreign body of unspecified shoulder
- S41.029ALaceration with foreign body of unspecified shoulder, initial encounter
- S41.029DLaceration with foreign body of unspecified shoulder, subsequent encounter
- S41.029SLaceration with foreign body of unspecified shoulder, sequela
- S41.03Puncture wound without foreign body of shoulder
- S41.031Puncture wound without foreign body of right shoulder
- S41.031APuncture wound without foreign body of right shoulder, initial encounter
- S41.031DPuncture wound without foreign body of right shoulder, subsequent encounter
- S41.031SPuncture wound without foreign body of right shoulder, sequela
- S41.032Puncture wound without foreign body of left shoulder
- S41.032APuncture wound without foreign body of left shoulder, initial encounter
- S41.032DPuncture wound without foreign body of left shoulder, subsequent encounter
- S41.032SPuncture wound without foreign body of left shoulder, sequela
- S41.039Puncture wound without foreign body of unspecified shoulder
- S41.039APuncture wound without foreign body of unspecified shoulder, initial encounter
- S41.039DPuncture wound without foreign body of unspecified shoulder, subsequent encounter
- S41.039SPuncture wound without foreign body of unspecified shoulder, sequela
- S41.04Puncture wound with foreign body of shoulder
- S41.041Puncture wound with foreign body of right shoulder
- S41.041APuncture wound with foreign body of right shoulder, initial encounter
- S41.041DPuncture wound with foreign body of right shoulder, subsequent encounter
- S41.041SPuncture wound with foreign body of right shoulder, sequela
- S41.042Puncture wound with foreign body of left shoulder
- S41.042APuncture wound with foreign body of left shoulder, initial encounter
- S41.042DPuncture wound with foreign body of left shoulder, subsequent encounter
- S41.042SPuncture wound with foreign body of left shoulder, sequela
- S41.049Puncture wound with foreign body of unspecified shoulder
- S41.049APuncture wound with foreign body of unspecified shoulder, initial encounter
- S41.049DPuncture wound with foreign body of unspecified shoulder, subsequent encounter
- S41.049SPuncture wound with foreign body of unspecified shoulder, sequela
- S41.05Open bite of shoulder
- S41.051Open bite of right shoulder
- S41.051AOpen bite of right shoulder, initial encounter
- S41.051DOpen bite of right shoulder, subsequent encounter
- S41.051SOpen bite of right shoulder, sequela
- S41.052Open bite of left shoulder
- S41.052AOpen bite of left shoulder, initial encounter
- S41.052DOpen bite of left shoulder, subsequent encounter
- S41.052SOpen bite of left shoulder, sequela
- S41.059Open bite of unspecified shoulder
- S41.059AOpen bite of unspecified shoulder, initial encounter
- S41.059DOpen bite of unspecified shoulder, subsequent encounter
- S41.059SOpen bite of unspecified shoulder, sequela
- S41.1Open wound of upper arm
- S41.10Unspecified open wound of upper arm
- S41.101Unspecified open wound of right upper arm
- S41.101AUnspecified open wound of right upper arm, initial encounter
- S41.101DUnspecified open wound of right upper arm, subsequent encounter
- S41.101SUnspecified open wound of right upper arm, sequela
- S41.102Unspecified open wound of left upper arm
- S41.102AUnspecified open wound of left upper arm, initial encounter
- S41.102DUnspecified open wound of left upper arm, subsequent encounter
- S41.102SUnspecified open wound of left upper arm, sequela
- S41.109Unspecified open wound of unspecified upper arm
- S41.109AUnspecified open wound of unspecified upper arm, initial encounter
- S41.109DUnspecified open wound of unspecified upper arm, subsequent encounter
- S41.109SUnspecified open wound of unspecified upper arm, sequela
- S41.11Laceration without foreign body of upper arm
- S41.111Laceration without foreign body of right upper arm
- S41.111ALaceration without foreign body of right upper arm, initial encounter
- S41.111DLaceration without foreign body of right upper arm, subsequent encounter
- S41.111SLaceration without foreign body of right upper arm, sequela
- S41.112Laceration without foreign body of left upper arm
- S41.112ALaceration without foreign body of left upper arm, initial encounter
- S41.112DLaceration without foreign body of left upper arm, subsequent encounter
- S41.112SLaceration without foreign body of left upper arm, sequela
- S41.119Laceration without foreign body of unspecified upper arm
- S41.119ALaceration without foreign body of unspecified upper arm, initial encounter
- S41.119DLaceration without foreign body of unspecified upper arm, subsequent encounter
- S41.119SLaceration without foreign body of unspecified upper arm, sequela
- S41.12Laceration with foreign body of upper arm
- S41.121Laceration with foreign body of right upper arm
- S41.121ALaceration with foreign body of right upper arm, initial encounter
- S41.121DLaceration with foreign body of right upper arm, subsequent encounter
- S41.121SLaceration with foreign body of right upper arm, sequela
- S41.122Laceration with foreign body of left upper arm
- S41.122ALaceration with foreign body of left upper arm, initial encounter
- S41.122DLaceration with foreign body of left upper arm, subsequent encounter
- S41.122SLaceration with foreign body of left upper arm, sequela
- S41.129Laceration with foreign body of unspecified upper arm
- S41.129ALaceration with foreign body of unspecified upper arm, initial encounter
- S41.129DLaceration with foreign body of unspecified upper arm, subsequent encounter
- S41.129SLaceration with foreign body of unspecified upper arm, sequela
- S41.13Puncture wound without foreign body of upper arm
- S41.131Puncture wound without foreign body of right upper arm
- S41.131APuncture wound without foreign body of right upper arm, initial encounter
- S41.131DPuncture wound without foreign body of right upper arm, subsequent encounter
- S41.131SPuncture wound without foreign body of right upper arm, sequela
- S41.132Puncture wound without foreign body of left upper arm
- S41.132APuncture wound without foreign body of left upper arm, initial encounter
- S41.132DPuncture wound without foreign body of left upper arm, subsequent encounter
- S41.132SPuncture wound without foreign body of left upper arm, sequela
- S41.139Puncture wound without foreign body of unspecified upper arm
- S41.139APuncture wound without foreign body of unspecified upper arm, initial encounter
- S41.139DPuncture wound without foreign body of unspecified upper arm, subsequent encounter
- S41.139SPuncture wound without foreign body of unspecified upper arm, sequela
- S41.14Puncture wound with foreign body of upper arm
- S41.141Puncture wound with foreign body of right upper arm
- S41.141APuncture wound with foreign body of right upper arm, initial encounter
- S41.141DPuncture wound with foreign body of right upper arm, subsequent encounter
- S41.141SPuncture wound with foreign body of right upper arm, sequela
- S41.142Puncture wound with foreign body of left upper arm
- S41.142APuncture wound with foreign body of left upper arm, initial encounter
- S41.142DPuncture wound with foreign body of left upper arm, subsequent encounter
- S41.142SPuncture wound with foreign body of left upper arm, sequela
- S41.149Puncture wound with foreign body of unspecified upper arm
- S41.149APuncture wound with foreign body of unspecified upper arm, initial encounter
- S41.149DPuncture wound with foreign body of unspecified upper arm, subsequent encounter
- S41.149SPuncture wound with foreign body of unspecified upper arm, sequela
- S41.15Open bite of upper arm
- S41.151Open bite of right upper arm
- S41.151AOpen bite of right upper arm, initial encounter
- S41.151DOpen bite of right upper arm, subsequent encounter
- S41.151SOpen bite of right upper arm, sequela
- S41.152Open bite of left upper arm
- S41.152AOpen bite of left upper arm, initial encounter
- S41.152DOpen bite of left upper arm, subsequent encounter
- S41.152SOpen bite of left upper arm, sequela
- S41.159Open bite of unspecified upper arm
- S41.159AOpen bite of unspecified upper arm, initial encounter
- S41.159DOpen bite of unspecified upper arm, subsequent encounter
- S41.159SOpen bite of unspecified upper arm, sequela
S41 MS-DRGs
As the principal diagnosis, the billable codes under S41 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 (60 of 108 codes)
- DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (60 of 108 codes)
- DRG 949 Aftercare with CC/MCC (36 of 108 codes)
- DRG 950 Aftercare without CC/MCC (36 of 108 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (36 of 108 codes)
- DRG 964 Other Multiple Significant Trauma with CC (36 of 108 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (36 of 108 codes)
- DRG 913 Traumatic Injury with MCC (12 of 108 codes)
- DRG 914 Traumatic Injury without MCC (12 of 108 codes)
Other codes that refer to S41
Notes on these codes point to S41.
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.