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S40-S49 Injuries to the Shoulder & Upper Arm

S40 Superficial Injury of Shoulder & Upper Arm

S41 Open Wound of Shoulder & Upper Arm

S42 Fracture of Shoulder & Upper Arm

S43 Dislocation & Sprain of Joints & Ligaments of Shoulder Girdle

S44 Injury of Nerves at Shoulder & Upper Arm Level

S44.9

Injury of Unspecified Nerve at Shoulder &

Upper Arm Level

S46 Injury of Muscle, Fascia & Tendon at Shoulder & Upper Arm Level

S47 Crushing Injury of Shoulder & Upper Arm

S48 Traumatic Amputation of Shoulder & Upper Arm

Injuries to the shoulder and upper arm S40-S49 >

 

Type 2 Excludes

burns and corrosions (T20-T32)

frostbite (T33-T34)

injuries of elbow (S50-S59)

insect bite or sting, venomous (T63.4)

Includes

injuries of axilla

injuries of scapular region

 

Open wound of shoulder and upper arm S41- >

 

Code Also

any associated wound infection

Type 1 Excludes

traumatic amputation of shoulder and upper arm (S48.-)

Type 2 Excludes

open fracture of shoulder and upper arm (S42.- with

7th character B or C)

 

Fracture of shoulder and upper arm S42- >

 

Note

A fracture not indicated as displaced or nondisplaced

should be coded to displaced

A fracture not indicated as open or closed should be

coded to closed

Type 1 Excludes

traumatic amputation of shoulder and upper arm (S48.-)

 

Dislocation and sprain of joints and ligaments of

shoulder girdle S43- >

 

Code Also

any associated open wound

Type 2 Excludes

strain of muscle, fascia and tendon of shoulder

and upper arm (S46.-)

Includes

avulsion of joint or ligament of shoulder girdle

laceration of cartilage, joint or ligament of

shoulder girdle

sprain of cartilage, joint or ligament of

shoulder girdle

traumatic hemarthrosis of joint or ligament of

shoulder girdle

traumatic rupture of joint or ligament of

shoulder girdle

traumatic subluxation of joint or ligament of

shoulder girdle

traumatic tear of joint or ligament of shoulder

girdle

 

Injury of nerves at shoulder and upper arm

level S44- >

 

Code Also

any associated open wound (S41.-)

Type 2 Excludes

injury of brachial plexus (S14.3-)

 

Code Also

any associated open wound (S41.-)

Type 2 Excludes

injury of subclavian artery (S25.1)

injury of subclavian vein (S25.3)

 

Injury of muscle, fascia and tendon at shoulder

and upper arm level S46- >

 

Code Also

any associated open wound (S41.-)

Type 2 Excludes

injury of muscle, fascia and tendon at elbow (S56.-)

sprain of joints and ligaments of shoulder girdle (S43.9)

 

Crushing injury of shoulder and upper arm S47- >

 

Use Additional

code for all associated injuries

Type 2 Excludes

crushing injury of elbow (S57.0-)

 

Traumatic amputation of shoulder and upper arm S48- >

 

Applicable To

An amputation not identified as partial or complete

should be coded to complete

Type 1 Excludes

traumatic amputation at elbow level (S58.0)

 

S49 Other & Unspecified Injuries of Shoulder & Upper Arm

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