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

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

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 Code	Description
S41.001A	Unspecified open wound of right shoulder, initial encounter
S41.001D	Unspecified open wound of right shoulder, subsequent encounter
S41.001S	Unspecified open wound of right shoulder, sequela
S41.002A	Unspecified open wound of left shoulder, initial encounter
S41.002D	Unspecified open wound of left shoulder, subsequent encounter
S41.002S	Unspecified open wound of left shoulder, sequela
S41.009A	Unspecified open wound of unspecified shoulder, initial encounter
S41.009D	Unspecified open wound of unspecified shoulder, subsequent encounter
S41.009S	Unspecified open wound of unspecified shoulder, sequela
S41.011A	Laceration without foreign body of right shoulder, initial encounter
S41.011D	Laceration without foreign body of right shoulder, subsequent encounter
S41.011S	Laceration without foreign body of right shoulder, sequela
S41.012A	Laceration without foreign body of left shoulder, initial encounter
S41.012D	Laceration without foreign body of left shoulder, subsequent encounter
S41.012S	Laceration without foreign body of left shoulder, sequela
S41.019A	Laceration without foreign body of unspecified shoulder, initial encounter
S41.019D	Laceration without foreign body of unspecified shoulder, subsequent encounter
S41.019S	Laceration without foreign body of unspecified shoulder, sequela
S41.021A	Laceration with foreign body of right shoulder, initial encounter
S41.021D	Laceration with foreign body of right shoulder, subsequent encounter

Showing 1–20 of 108

DRG Codes

9 rows

DRG Code	Description
604	Trauma to the Skin, Subcutaneous Tissue and Breast with MCC
605	Trauma to the Skin, Subcutaneous Tissue and Breast without MCC
913	Traumatic Injury with MCC
914	Traumatic Injury without MCC
949	Aftercare with CC/MCC
950	Aftercare without CC/MCC
963	Other Multiple Significant Trauma with MCC
964	Other Multiple Significant Trauma with CC
965	Other Multiple Significant Trauma without CC/MCC

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.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.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.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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When to Use

ICD-10-CM Codes

108 rows

ICD-10-CM Code	Description
S41.001A	Unspecified open wound of right shoulder, initial encounter
S41.001D	Unspecified open wound of right shoulder, subsequent encounter
S41.001S	Unspecified open wound of right shoulder, sequela
S41.002A	Unspecified open wound of left shoulder, initial encounter
S41.002D	Unspecified open wound of left shoulder, subsequent encounter
S41.002S	Unspecified open wound of left shoulder, sequela
S41.009A	Unspecified open wound of unspecified shoulder, initial encounter
S41.009D	Unspecified open wound of unspecified shoulder, subsequent encounter
S41.009S	Unspecified open wound of unspecified shoulder, sequela
S41.011A	Laceration without foreign body of right shoulder, initial encounter
S41.011D	Laceration without foreign body of right shoulder, subsequent encounter
S41.011S	Laceration without foreign body of right shoulder, sequela
S41.012A	Laceration without foreign body of left shoulder, initial encounter
S41.012D	Laceration without foreign body of left shoulder, subsequent encounter
S41.012S	Laceration without foreign body of left shoulder, sequela
S41.019A	Laceration without foreign body of unspecified shoulder, initial encounter
S41.019D	Laceration without foreign body of unspecified shoulder, subsequent encounter
S41.019S	Laceration without foreign body of unspecified shoulder, sequela
S41.021A	Laceration with foreign body of right shoulder, initial encounter
S41.021D	Laceration with foreign body of right shoulder, subsequent encounter

Showing 1–20 of 108

DRG Codes

9 rows

DRG Code	Description
604	Trauma to the Skin, Subcutaneous Tissue and Breast with MCC
605	Trauma to the Skin, Subcutaneous Tissue and Breast without MCC
913	Traumatic Injury with MCC
914	Traumatic Injury without MCC
949	Aftercare with CC/MCC
950	Aftercare without CC/MCC
963	Other Multiple Significant Trauma with MCC
964	Other Multiple Significant Trauma with CC
965	Other Multiple Significant Trauma without CC/MCC

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.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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

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

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

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

Sign up for ICD-10-CM Code For Open Wound Of Shoulder And Upper Arm: Group Overview policy alerts

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

When to Use

ICD-10-CM Codes

DRG Codes

Related Codes

References

When to Use

ICD-10-CM Codes

DRG Codes

Related Codes

References

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

Sign up for ICD-10-CM Code For Open Wound Of Shoulder And Upper Arm: Group Overview policy alerts

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

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

Sign up for ICD-10-CM Code For Open Wound Of Shoulder And Upper Arm: Group Overview policy alerts

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

When to Use

ICD-10-CM Codes

DRG Codes

Related Codes

Which injuries are included in the ICD-10-CM S41 group?

How does laterality and encounter type get captured in S41 codes?

Are foreign bodies and wound depth documented within this group?

Which DRGs relate to S41 open wound cases for reimbursement grouping?

Can I use a single S41 code for billing without specifying laterality or encounter?

References

When to Use

ICD-10-CM Codes

DRG Codes

Related Codes

Which injuries are included in the ICD-10-CM S41 group?

How does laterality and encounter type get captured in S41 codes?

Are foreign bodies and wound depth documented within this group?

Which DRGs relate to S41 open wound cases for reimbursement grouping?

Can I use a single S41 code for billing without specifying laterality or encounter?

References