DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S40 Superficial injury of shoulder and upper arm

  • Header · not billable
  • Codes take a 7th character

S40 is not billable. The category heads 144 billable codes in FY2027, grouped under 4 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Abrasionshoulder → S40.21-
  • Abrasionarm (upper) → S40.81-
  • Blister (nonthermal)shoulder → S40.22-

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)
  3. S40 Superficial injury of shoulder and upper arm
Billable codes
144
Subdivisions
4
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
16

Codes in S40

  1. S40.0
    Contusion of shoulder and upper arm
    Header
  2. S40.01
    Contusion of shoulder
    Header
  3. S40.011
    Contusion of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  4. S40.012
    Contusion of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  5. S40.019
    Contusion of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  6. S40.02
    Contusion of upper arm
    Header
  7. S40.021
    Contusion of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  8. S40.022
    Contusion of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  9. S40.029
    Contusion of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  10. S40.2
    Other superficial injuries of shoulder
    Header
  11. S40.21
    Abrasion of shoulder
    Header
  12. S40.211
    Abrasion of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  13. S40.212
    Abrasion of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  14. S40.219
    Abrasion of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  15. S40.22
    Blister (nonthermal) of shoulder
    Header
  16. S40.221
    Blister (nonthermal) of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  17. S40.222
    Blister (nonthermal) of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  18. S40.229
    Blister (nonthermal) of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  19. S40.24
    External constriction of shoulder
    Header
  20. S40.241
    External constriction of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  21. S40.242
    External constriction of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  22. S40.249
    External constriction of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  23. S40.25
    Superficial foreign body of shoulder
    Header
    Inclusion terms 1

    Inclusion terms

    • Splinter in the shoulder
  24. S40.251
    Superficial foreign body of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  25. S40.252
    Superficial foreign body of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  26. S40.259
    Superficial foreign body of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  27. S40.26
    Insect bite (nonvenomous) of shoulder
    Header
  28. S40.261
    Insect bite (nonvenomous) of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  29. S40.262
    Insect bite (nonvenomous) of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  30. S40.269
    Insect bite (nonvenomous) of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  31. S40.27
    Other superficial bite of shoulder
    Header
    Excludes1 1

    Excludes1

    • open bite of shoulder (S41.05) S41.05
  32. S40.271
    Other superficial bite of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  33. S40.272
    Other superficial bite of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  34. S40.279
    Other superficial bite of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  35. S40.8
    Other superficial injuries of upper arm
    Header
  36. S40.81
    Abrasion of upper arm
    Header
  37. S40.811
    Abrasion of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  38. S40.812
    Abrasion of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  39. S40.819
    Abrasion of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  40. S40.82
    Blister (nonthermal) of upper arm
    Header
  41. S40.821
    Blister (nonthermal) of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  42. S40.822
    Blister (nonthermal) of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  43. S40.829
    Blister (nonthermal) of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  44. S40.84
    External constriction of upper arm
    Header
  45. S40.841
    External constriction of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  46. S40.842
    External constriction of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  47. S40.849
    External constriction of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  48. S40.85
    Superficial foreign body of upper arm
    Header
    Inclusion terms 1

    Inclusion terms

    • Splinter in the upper arm
  49. S40.851
    Superficial foreign body of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  50. S40.852
    Superficial foreign body of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  51. S40.859
    Superficial foreign body of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  52. S40.86
    Insect bite (nonvenomous) of upper arm
    Header
  53. S40.861
    Insect bite (nonvenomous) of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  54. S40.862
    Insect bite (nonvenomous) of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  55. S40.869
    Insect bite (nonvenomous) of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  56. S40.87
    Other superficial bite of upper arm
    Header
    Excludes1 1, Excludes2 1

    Excludes1

    • open bite of upper arm (S41.14) S41.14

    Excludes2

    • other superficial bite of shoulder (S40.27-) S40.27
  57. S40.871
    Other superficial bite of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  58. S40.872
    Other superficial bite of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  59. S40.879
    Other superficial bite of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  60. S40.9
    Unspecified superficial injury of shoulder and upper arm
    Header
  61. S40.91
    Unspecified superficial injury of shoulder
    Header
  62. S40.911
    Unspecified superficial injury of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  63. S40.912
    Unspecified superficial injury of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  64. S40.919
    Unspecified superficial injury of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  65. S40.92
    Unspecified superficial injury of upper arm
    Header
  66. S40.921
    Unspecified superficial injury of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  67. S40.922
    Unspecified superficial injury of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  68. S40.929
    Unspecified superficial injury of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

Notes that also apply

Block S40-S49 instructions (Includes 2, Excludes2 4): printed on the block page.

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

7th characters

7th characters for S40 defined here

The appropriate 7th character is to be added to each code from category S40

7th characters for S40
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Contusion (skin surface intact)shoulder → S40.01-
  • Contusion (skin surface intact)arm (upper) → S40.02-
  • Abrasionshoulder → S40.21-
  • Blister (nonthermal)shoulder → S40.22-
  • Abrasionarm (upper) → S40.81-
  • Blister (nonthermal)arm (upper) → S40.82-
  • Constrictionexternalshoulder → S40.24-
  • Foreign bodysuperficial, without open woundshoulder → S40.25-
  • Bite(s) (animal) (human)shouldersuperficial NEC → S40.27-
  • Constrictionexternalarm (upper) → S40.84-
  • Foreign bodysuperficial, without open woundarm (upper) → S40.85-
  • Bite(s) (animal) (human)arm (upper)superficial NEC → S40.87-
  • Injurysuperficial NECshoulder → S40.91-
  • Injurysuperficial NECarm (upper) → S40.92-
  • Bite(s) (animal) (human)shouldersuperficial NECinsect → S40.26-
  • Bite(s) (animal) (human)arm (upper)superficial NECinsect → S40.86-

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy