All ICD10 Codes
S49Not billable, use a more specific code below

Other and unspecified injuries 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

234 billable codes under S49: 108 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

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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 S49.

Includes: conditions that are coded here

  • injuries of axilla
  • injuries of scapular region

Excludes2: not included here, code separately if applicable

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).

Read Section I.C.19 (page 77)

All codes under S49

S49 can't be used on a claim. Pick a billable code below; grey headings group them.

S49 MS-DRGs

As the principal diagnosis, the billable codes under S49 group to these 15 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Shoulder 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 MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.