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    v1.0.28
    OpenPayerBilling CodesInjuries to the shoulder and upper armICD-10-CM s41-open-wound-of-shoulder-and-upper-arm
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    ICD-10-CM Code For Open Wound Of Shoulder And Upper Arm: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S41 includes open wounds of the shoulder and upper arm such as lacerations, puncture wounds, and avulsions involving soft tissue and superficial structures. These ICD-10-CM diagnosis codes are used to document acute traumatic breaches of skin and underlying tissues of the proximal upper limb, capturing wound depth, associated complications, and laterality when applicable. Accurate coding within the ICD-10-CM S41 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM S41: Open Wound Of Shoulder And Upper Arm Overview

    The ICD-10-CM S41 group represents open wounds affecting the shoulder and upper arm, including lacerations, punctures, and abrasions. These diagnoses target musculoskeletal and integumentary injuries in the proximal upper extremity. Accurate coding matters for appropriate reimbursement and to reflect the extent and complexity of the injury in clinical records.

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    When to Use

    Use a code from this group when a patient presents with an acute traumatic breach of skin over the shoulder or upper arm that requires clinical documentation and coding. Select the code that reflects the precise anatomical site, laterality, and any documented complications or associated injuries.

    ICD-10-CM Codes

    108 rows

    ICD-10-CM CodeDescription
    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
    S41.002AUnspecified open wound of left shoulder, initial encounter
    S41.002DUnspecified open wound of left shoulder, subsequent encounter
    S41.002SUnspecified open wound of left shoulder, sequela
    S41.009AUnspecified open wound of unspecified shoulder, initial encounter
    S41.009DUnspecified open wound of unspecified shoulder, subsequent encounter
    S41.009SUnspecified open wound of unspecified shoulder, sequela
    S41.011ALaceration 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
    S41.012ALaceration 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
    S41.019ALaceration 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
    S41.021ALaceration with foreign body of right shoulder, initial encounter
    S41.021DLaceration with foreign body of right shoulder, subsequent encounter

    Showing 1–20 of 108

    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
    913Traumatic Injury with MCC
    914Traumatic Injury 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

    Related Codes

    S40-SUPERFICIAL-INJURY-OF-SHOULDER-AND-UPPER-ARM

    ICD-10-CM Code For Superficial Injury 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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