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    OpenPayerBilling CodesInjuries to the shoulder and upper armICD-10-CM s48-traumatic-amputation-shoulder-upper-arm
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    ICD-10-CM Code For Traumatic Amputation Of Shoulder And Upper Arm: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S48 includes traumatic amputations of the shoulder and upper arm, covering complete and partial limb loss at or near the shoulder girdle and proximal humerus. These ICD-10-CM diagnosis codes are used to document acute traumatic limb loss, associated soft tissue and neurovascular injury, and the level and laterality of amputation. Accurate coding within the ICD-10-CM S48 group supports proper claim adjudication and appropriate reimbursement.

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    ICD-10-CM S48: Traumatic Amputation Of Shoulder And Upper Arm Overview

    This group represents traumatic amputations affecting the shoulder and upper arm, including complete and partial loss of the upper limb at or proximal to the humerus. It targets injuries to the musculoskeletal and neurovascular structures of the shoulder girdle and upper arm. Accurate coding matters for reimbursement because it captures injury severity and guides appropriate payment and resource allocation.

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    When to Use

    Use codes from this group when documenting acute traumatic amputation of the shoulder or upper arm resulting from injury, including situations with associated vascular, nerve, or soft tissue damage. Select the code that specifies the level of amputation and laterality to accurately reflect the clinical encounter.

    ICD-10-CM Codes

    54 rows

    ICD-10-CM CodeDescription
    S48.011AComplete traumatic amputation at right shoulder joint, initial encounter
    S48.011DComplete traumatic amputation at right shoulder joint, subsequent encounter
    S48.011SComplete traumatic amputation at right shoulder joint, sequela
    S48.012AComplete traumatic amputation at left shoulder joint, initial encounter
    S48.012DComplete traumatic amputation at left shoulder joint, subsequent encounter
    S48.012SComplete traumatic amputation at left shoulder joint, sequela
    S48.019AComplete traumatic amputation at unspecified shoulder joint, initial encounter
    S48.019DComplete traumatic amputation at unspecified shoulder joint, subsequent encounter
    S48.019SComplete traumatic amputation at unspecified shoulder joint, sequela
    S48.021APartial traumatic amputation at right shoulder joint, initial encounter
    S48.021DPartial traumatic amputation at right shoulder joint, subsequent encounter
    S48.021SPartial traumatic amputation at right shoulder joint, sequela
    S48.022APartial traumatic amputation at left shoulder joint, initial encounter
    S48.022DPartial traumatic amputation at left shoulder joint, subsequent encounter
    S48.022SPartial traumatic amputation at left shoulder joint, sequela
    S48.029APartial traumatic amputation at unspecified shoulder joint, initial encounter
    S48.029DPartial traumatic amputation at unspecified shoulder joint, subsequent encounter
    S48.029SPartial traumatic amputation at unspecified shoulder joint, sequela
    S48.111AComplete traumatic amputation at level between right shoulder and elbow, initial encounter
    S48.111DComplete traumatic amputation at level between right shoulder and elbow, subsequent encounter

    Showing 1–20 of 54

    DRG Codes

    10 rows

    DRG CodeDescription
    559Aftercare, Musculoskeletal System and Connective Tissue with MCC
    560Aftercare, Musculoskeletal System and Connective Tissue with CC
    561Aftercare, Musculoskeletal System and Connective Tissue without CC/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 construction worker presents to the emergency department after a high-energy crush injury when a scaffolding collapse severed the upper limb at the proximal humerus/shoulder level. The patient has an acute traumatic amputation with active bleeding and requires emergent stabilization, wound control, and vascular assessment; an initial encounter code from this group is assigned to document the acute traumatic amputation. Typical codes: S48.011A, S48.021A
    • A middle-aged patient with a previously partial traumatic shoulder/upper-arm amputation treated months ago returns for routine follow-up and prosthetic fitting; the wound has healed and there is no active infection, but the patient requires ongoing rehabilitation and prosthesis management. A sequela or subsequent encounter code from this group reflecting a healed or subsequent care phase of the traumatic amputation is assigned for outpatient continuity of care. Typical codes: S48.011D, S48.021D
    • An elderly patient with a prior traumatic amputation at the shoulder presents with chronic stump pain and signs of infection at the amputation site requiring readmission for debridement and antibiotic therapy; this admission is for complications related to the original traumatic shoulder/upper-arm amputation. A code from this group that denotes a subsequent encounter or complication of the traumatic amputation is assigned alongside codes for infection/complication management. Typical codes: S48.011S, S48.021S

    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

    S47-CRUSHING-INJURY-OF-SHOULDER

    ICD-10-CM Code For Crushing Injury 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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