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    OpenPayerBilling CodesInjuries to the shoulder and upper armICD-10-CM s47-crushing-injury-of-shoulder
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    ICD-10-CM Code For Crushing Injury Of Shoulder And Upper Arm: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S47 includes crushing injuries of the shoulder and upper arm, covering traumatic compressive injuries to soft tissues, bones, and neurovascular structures in that anatomical region. These ICD-10-CM diagnosis codes are used to document acute traumatic events, capture injury severity, and record associated complications such as open wounds, fractures, and neurovascular compromise. Accurate coding within the ICD-10-CM S47 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM S47: Crushing Injury Of Shoulder And Upper Arm Overview

    The diagnoses in this group represent crushing injuries affecting soft tissue, neurovascular structures, and bones of the shoulder and upper arm. These injuries involve the musculoskeletal and integumentary systems and can include contusions, lacerations, compartment syndromes, and traumatic amputations caused by compressive forces. Accurate coding is important for clinical documentation and supports correct reimbursement by reflecting injury severity and resource use.

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    When to Use

    Select a code from this group when the clinical record documents a crushing mechanism causing injury specifically to the shoulder or upper arm region. Use these codes to report the acute compressive injury and any documented associated conditions such as open wounds, fractures, or vascular or nerve involvement.

    ICD-10-CM Codes

    9 rows

    ICD-10-CM CodeDescription
    S47.1XXACrushing injury of right shoulder and upper arm, initial encounter
    S47.1XXDCrushing injury of right shoulder and upper arm, subsequent encounter
    S47.1XXSCrushing injury of right shoulder and upper arm, sequela
    S47.2XXACrushing injury of left shoulder and upper arm, initial encounter
    S47.2XXDCrushing injury of left shoulder and upper arm, subsequent encounter
    S47.2XXSCrushing injury of left shoulder and upper arm, sequela
    S47.9XXACrushing injury of shoulder and upper arm, unspecified arm, initial encounter
    S47.9XXDCrushing injury of shoulder and upper arm, unspecified arm, subsequent encounter
    S47.9XXSCrushing injury of shoulder and upper arm, unspecified arm, sequela

    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

    Typical Clinical Scenarios

    • A middle-aged construction worker is brought to the emergency department after a hydraulic lift collapsed on his right upper arm and shoulder, causing severe crushing trauma with marked swelling, ecchymosis, and loss of distal pulses. He requires urgent evaluation for soft-tissue and possible neurovascular compromise, splinting, and imaging; an initial encounter code from this group is assigned for the acute crushing injury. Typical codes: S47.1XXA
    • An elderly nursing home resident with advanced dementia presents to clinic after sustaining a low-energy crush against a bed rail several days earlier; the shoulder and upper arm show persistent pain, limited motion, and induration but no open wound. Because the visit documents ongoing care for an old crushing injury (non-acute follow-up without active treatment), a subsequent encounter or sequela code from this group is used to reflect the ongoing management. Typical codes: S47.1XXD, S47.2XXD
    • A young cyclist develops compartment syndrome and neurovascular impairment of the upper arm following a crushing injury when his arm was trapped under a bicycle frame; after initial emergency surgery, he returns for evaluation of sequelae including chronic nerve dysfunction and stiffness. This visit is coded to indicate a later encounter or sequela of a prior crushing injury to the shoulder/upper arm. Typical codes: S47.9XXS, S47.1XXD

    Related Codes

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

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

    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

    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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