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    v1.0.28
    OpenPayerBilling CodesInjuries to the shoulder and upper armICD-10-CM s40-superficial-injury-of-shoulder-and-upper-arm
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    ICD-10-CM Code For Superficial Injury Of Shoulder And Upper Arm: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S40 includes superficial injuries of the shoulder and upper arm, such as abrasions, contusions, and minor lacerations that affect skin and subcutaneous tissues. These ICD-10-CM diagnosis codes are used to document injury type, anatomical site, and laterality when applicable, capturing clinical details relevant to treatment and follow-up. Accurate coding within the ICD-10-CM S40 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

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    ICD-10-CM S40: Superficial Injury Of Shoulder And Upper Arm Overview

    The ICD-10-CM S40 group includes superficial injuries affecting the shoulder and upper arm, such as abrasions, contusions, and superficial lacerations. These codes target the musculoskeletal and integumentary structures of the shoulder girdle and proximal arm. Accurate coding is important because it supports correct clinical documentation and influences reimbursement determination for injury-related services.

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    When to Use

    Use a code from this group when care is provided for a patient with a superficial injury localized to the shoulder or upper arm and when documentation specifies the type of superficial injury. Select the code that matches the documented site, laterality, and any additional specified details such as encounter type.

    ICD-10-CM Codes

    144 rows

    ICD-10-CM CodeDescription
    S40.011AContusion of right shoulder, initial encounter
    S40.011DContusion of right shoulder, subsequent encounter
    S40.011SContusion of right shoulder, sequela
    S40.012AContusion of left shoulder, initial encounter
    S40.012DContusion of left shoulder, subsequent encounter
    S40.012SContusion of left shoulder, sequela
    S40.019AContusion of unspecified shoulder, initial encounter
    S40.019DContusion of unspecified shoulder, subsequent encounter
    S40.019SContusion of unspecified shoulder, sequela
    S40.021AContusion of right upper arm, initial encounter
    S40.021DContusion of right upper arm, subsequent encounter
    S40.021SContusion of right upper arm, sequela
    S40.022AContusion of left upper arm, initial encounter
    S40.022DContusion of left upper arm, subsequent encounter
    S40.022SContusion of left upper arm, sequela
    S40.029AContusion of unspecified upper arm, initial encounter
    S40.029DContusion of unspecified upper arm, subsequent encounter
    S40.029SContusion of unspecified upper arm, sequela
    S40.211AAbrasion of right shoulder, initial encounter
    S40.211DAbrasion of right shoulder, subsequent encounter

    Showing 1–20 of 144

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    DRG Codes

    9 rows

    DRG CodeDescription
    604Trauma to the Skin, Subcutaneous Tissue and Breast with MCC
    605Trauma to the Skin, Subcutaneous Tissue and Breast without MCC
    606Minor Skin Disorders with MCC
    607Minor Skin Disorders without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    963Other Multiple Significant Trauma with MCC
    964Other Multiple Significant Trauma with CC
    965Other Multiple Significant Trauma without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to the emergency department after a fall onto an outstretched arm during a recreational sport, with localized pain, superficial abrasion and swelling over the left lateral shoulder. Examination shows intact neurovascular status and skin laceration without deeper tissue involvement, and care is for wound cleaning, dressing, and tetanus update; a superficial injury code is assigned to capture the contusion/abrasion of the shoulder region at initial encounter. Typical codes: S40.011A, S40.019A
    • An elderly nursing home resident with fragile skin develops a noninfected superficial abrasion over the anterior right upper arm after routine repositioning; the wound is chronic-appearing but stable and treated with local wound care during a follow-up clinic visit. Because this is a subsequent encounter for a healed or stable superficial injury without complication, a subsequent encounter code from the group is used to reflect care for the ongoing healing phase. Typical codes: S40.011D, S40.021D
    • A middle-aged patient with diabetes is seen in clinic for delayed healing of a superficial shoulder abrasion that has become reddened but without deep tissue involvement; the visit documents increased surveillance and dressings to prevent infection and monitor for cellulitis. The superficial shoulder injury code is used as a comorbid injury complicating wound management in this higher-risk patient. Typical codes: S40.011S, S40.021S}

    Related Codes

    S41-OPEN-WOUND-OF-SHOULDER-AND-UPPER-ARM

    ICD-10-CM Code For Open Wound Of Shoulder And Upper Arm: Group Overview

    S42-FRACTURE-OF-SHOULDER-AND-UPPER-ARM

    ICD-10-CM Code For Fracture Of Shoulder And Upper Arm: Group Overview

    S43-DISLOCATION-AND-SPRAIN-SHOULDER-GIRDLE

    ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments Of Shoulder Girdle: Group Overview

    S44-INJURY-OF-NERVES-SHOULDER-UPPER-ARM

    ICD-10-CM Code For Injury Of Nerves At Shoulder And Upper Arm Level: Group Overview

    S45-INJURY-OF-BLOOD-VESSELS-SHOULDER-UPPER-ARM

    ICD-10-CM Code For Injury Of Blood Vessels At Shoulder And Upper Arm Level: Group Overview

    S46-INJURY-OF-MUSCLE-FASCIA-AND-TENDON

    ICD-10-CM Code For Injury Of Muscle Fascia And Tendon At Shoulder And Upper Arm Level: Group Overview

    S47-CRUSHING-INJURY-OF-SHOULDER

    ICD-10-CM Code For Crushing Injury Of Shoulder And Upper Arm: Group Overview

    S48-TRAUMATIC-AMPUTATION-SHOULDER-UPPER-ARM

    ICD-10-CM Code For Traumatic Amputation Of Shoulder And Upper Arm: Group Overview

    S49-OTHER-AND-UNSPECIFIED-SHOULDER-INJURIES

    ICD-10-CM Code For Other And Unspecified Injuries Of Shoulder And Upper Arm: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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