S49
Header — not billableOther and unspecified injuries of shoulder and upper arm
The ICD-10 code for other and unspecified injuries of shoulder and upper arm is S49.
S49 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 4 more specific codes below.
Clinical notes
7th character definitions
These definitions specify what each valid 7th-character value means for codes in this category.
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Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •This category requires a 7th character. Documentation should clearly indicate the episode of care (initial encounter, subsequent encounter, or sequela).
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- S40Superficial injury of shoulder and upper armnon-billable header
- S41Open wound of shoulder and upper armnon-billable header
- S42Fracture of shoulder and upper armnon-billable header
- S43Dislocation and sprain of joints and ligaments of shoulder girdlenon-billable header
- S44Injury of nerves at shoulder and upper arm levelnon-billable header
- S45Injury of blood vessels at shoulder and upper arm levelnon-billable header
- S46Injury of muscle, fascia and tendon at shoulder and upper arm levelnon-billable header
- S47Crushing injury of shoulder and upper armnon-billable header
- S48Traumatic amputation of shoulder and upper armnon-billable header
- S49Other and unspecified injuries of shoulder and upper armnon-billable header