Crushing 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
9 billable codes under S47: none are a CC or MCC; none map to an HCC.
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Instructional notes
Excludes2: not included here, code separately if applicable
- crushing injury of elbow (S57.0-)
Use additional code: add a second code for this, listed after this one
- code for all associated injuries
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 S47.
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 S47
S47 can't be used on a claim. Pick a billable code below; grey headings group them.
- S47.1Crushing injury of right shoulder and upper arm
- S47.1XXACrushing injury of right shoulder and upper arm, initial encounter
- S47.1XXDCrushing injury of right shoulder and upper arm, subsequent encounter
- S47.1XXSCrushing injury of right shoulder and upper arm, sequela
- S47.2Crushing injury of left shoulder and upper arm
- S47.2XXACrushing injury of left shoulder and upper arm, initial encounter
- S47.2XXDCrushing injury of left shoulder and upper arm, subsequent encounter
- S47.2XXSCrushing injury of left shoulder and upper arm, sequela
- S47.9Crushing injury of shoulder and upper arm, unspecified arm
- S47.9XXACrushing injury of shoulder and upper arm, unspecified arm, initial encounter
- S47.9XXDCrushing injury of shoulder and upper arm, unspecified arm, subsequent encounter
- S47.9XXSCrushing injury of shoulder and upper arm, unspecified arm, sequela
S47 MS-DRGs
As the principal diagnosis, the billable codes under S47 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 (3 of 9 codes)
- DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (3 of 9 codes)
- DRG 913 Traumatic Injury with MCC (3 of 9 codes)
- DRG 914 Traumatic Injury without MCC (3 of 9 codes)
- DRG 949 Aftercare with CC/MCC (3 of 9 codes)
- DRG 950 Aftercare without CC/MCC (3 of 9 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (3 of 9 codes)
- DRG 964 Other Multiple Significant Trauma with CC (3 of 9 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (3 of 9 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Arm Injuries and Disorders
Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.
Read more about arm injuries and disorders on MedlinePlusShoulder Injuries and Disorders
Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.
Read more about shoulder injuries and disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.