DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Block · Chapter 19

S40-S49 Injuries to the shoulder and upper arm (S40-S49)

Block S40-S49 groups 10 categories with 2,730 billable codes in FY2027.

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. S40-S49 Injuries to the shoulder and upper arm (S40-S49)

Neighbouring blocks

Categories
10
Billable codes
2,730
CC codes
810
MCC codes
141
HCC V28 codes
18
New FY2027
0

Categories in S40-S49

  • S40

    Superficial injury of shoulder and upper arm

    Abrasionshoulder → S40.21-

    • 144 billable codes
  • S41

    Open wound of shoulder and upper arm

    Punctureshoulder → S41.039

    • 108 billable codes
  • S42

    Fracture of shoulder and upper arm

    Fracture, traumatic (abduction) (adduction) (separation)elbow → S42.40-

    • 1,398 billable codes
    • 603 CC
    • 132 MCC
  • S43

    Dislocation and sprain of joints and ligaments of shoulder girdle

    Lesion(s) (nontraumatic)SLAP → S43.43-

    • 333 billable codes
    • 18 CC
  • S44

    Injury of nerves at shoulder and upper arm level

    Injurynerve NECaxillary → S44.3-

    • 72 billable codes
  • S45

    Injury of blood vessels at shoulder and upper arm level

    Injuryblood vessel NECarm (upper) NEC → S45.90-

    • 162 billable codes
    • 45 CC
    • 9 MCC
  • S46

    Injury of muscle, fascia and tendon at shoulder and upper arm level

    Injuryrotator cuff (muscle(s)) (tendon(s)) → S46.00-

    • 216 billable codes
    • 18 CC
  • S47

    Crushing injury of shoulder and upper arm

    Crush, crushed, crushingarm (upper) (and shoulder) → S47.-

    • 9 billable codes
  • S48

    Traumatic amputation of shoulder and upper arm

    Amputationtraumatic (complete) (partial)arm (upper) (complete) → S48.91-

    • 54 billable codes
    • 18 CC
    • 18 with HCC
  • S49

    Other and unspecified injuries of shoulder and upper arm

    Injuryshoulder → S49.9-

    • 234 billable codes
    • 108 CC

Index main terms

  • Fracture, traumatic (abduction) (adduction) (separation) → S42, S49 (82 entries)
  • Injury → S40, S44, S45, S46, S49 (59 entries)
  • Dislocation (articular) → S43 (17 entries)
  • Puncture → S41 (12 entries)
  • Subluxation → S43 (12 entries)
  • Sprain (joint) (ligament) → S43 (10 entries)
  • Laceration → S41 (8 entries)
  • Amputation → S48 (6 entries)
  • Bite(s) (animal) (human) → S40, S41 (6 entries)
  • Abrasion → S40 (2 entries)
  • Blister (nonthermal) → S40 (2 entries)
  • Constriction → S40 (2 entries)
  • Contusion (skin surface intact) → S40 (2 entries)
  • Foreign body → S40 (2 entries)
  • Lesion(s) (nontraumatic) → S43 (2 entries)

+5 more main terms; the search box finds them by word.

Block instructions

Includes

  • injuries of axilla
  • injuries of scapular region

Excludes2

  • burns and corrosions (T20-T32) T20 T32
  • frostbite (T33-T34) T33 T34
  • injuries of elbow (S50-S59) S50 S59
  • insect bite or sting, venomous (T63.4) T63.4

Notes that also apply

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.