DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S41 Open wound of shoulder and upper arm

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

S41 is not billable. The category heads 108 billable codes in FY2027, grouped under 2 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

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. S41 Open wound of shoulder and upper arm
Billable codes
108
Subdivisions
2
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
24

Codes in S41

  1. S41.0
    Open wound of shoulder
    Header
  2. S41.00
    Unspecified open wound of shoulder
    Header
  3. S41.001
    Unspecified open wound of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  4. S41.002
    Unspecified open wound of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  5. S41.009
    Unspecified open wound of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  6. S41.01
    Laceration without foreign body of shoulder
    Header
  7. S41.011
    Laceration without foreign body of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  8. S41.012
    Laceration without foreign body of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  9. S41.019
    Laceration without foreign body of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  10. S41.02
    Laceration with foreign body of shoulder
    Header
  11. S41.021
    Laceration with foreign body of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  12. S41.022
    Laceration with foreign body of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  13. S41.029
    Laceration with foreign body of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  14. S41.03
    Puncture wound without foreign body of shoulder
    Header
  15. S41.031
    Puncture wound without foreign body of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  16. S41.032
    Puncture wound without foreign body of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  17. S41.039
    Puncture wound without foreign body of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  18. S41.04
    Puncture wound with foreign body of shoulder
    Header
  19. S41.041
    Puncture wound with foreign body of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  20. S41.042
    Puncture wound with foreign body of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  21. S41.049
    Puncture wound with foreign body of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  22. S41.05
    Open bite of shoulder
    Header
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Bite of shoulder NOS

    Excludes1

    • superficial bite of shoulder (S40.27) S40.27
  23. S41.051
    Open bite of right shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  24. S41.052
    Open bite of left shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  25. S41.059
    Open bite of unspecified shoulder +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  26. S41.1
    Open wound of upper arm
    Header
  27. S41.10
    Unspecified open wound of upper arm
    Header
  28. S41.101
    Unspecified open wound of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  29. S41.102
    Unspecified open wound of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  30. S41.109
    Unspecified open wound of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  31. S41.11
    Laceration without foreign body of upper arm
    Header
  32. S41.111
    Laceration without foreign body of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  33. S41.112
    Laceration without foreign body of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  34. S41.119
    Laceration without foreign body of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  35. S41.12
    Laceration with foreign body of upper arm
    Header
  36. S41.121
    Laceration with foreign body of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  37. S41.122
    Laceration with foreign body of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  38. S41.129
    Laceration with foreign body of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  39. S41.13
    Puncture wound without foreign body of upper arm
    Header
  40. S41.131
    Puncture wound without foreign body of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  41. S41.132
    Puncture wound without foreign body of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  42. S41.139
    Puncture wound without foreign body of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  43. S41.14
    Puncture wound with foreign body of upper arm
    Header
  44. S41.141
    Puncture wound with foreign body of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  45. S41.142
    Puncture wound with foreign body of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  46. S41.149
    Puncture wound with foreign body of unspecified upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  47. S41.15
    Open bite of upper arm
    Header
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Bite of upper arm NOS

    Excludes1

    • superficial bite of upper arm (S40.87) S40.87
  48. S41.151
    Open bite of right upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  49. S41.152
    Open bite of left upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  50. S41.159
    Open bite 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

At S41

Excludes1

  • traumatic amputation of shoulder and upper arm (S48.-) S48

Excludes2

  • open fracture of shoulder and upper arm (S42.- with 7th character B or C) S42

Code also

  • any associated wound infection

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 S41 defined here

The appropriate 7th character is to be added to each code from category S41

7th characters for S41
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

  • Wound, openshoulder → S41.00-
  • Lacerationshoulder → S41.019
  • Punctureshoulder → S41.039
  • Bite(s) (animal) (human)shoulder → S41.05-
  • Wound, openarm (upper) → S41.10-
  • Lacerationarm (upper) → S41.11-
  • Puncturearm (upper) → S41.139
  • Bite(s) (animal) (human)arm (upper) → S41.15-
  • Lacerationshoulderright → S41.011
  • Lacerationshoulderleft → S41.012
  • Lacerationshoulderwith foreign body → S41.029
  • Punctureshoulderright → S41.031
  • Punctureshoulderleft → S41.032
  • Punctureshoulderwith foreign body → S41.049
  • Lacerationarm (upper)with foreign body → S41.12-
  • Puncturearm (upper)right → S41.131
  • Puncturearm (upper)left → S41.132
  • Puncturearm (upper)with foreign body → S41.149
  • Lacerationshoulderrightwith foreign body → S41.021
  • Lacerationshoulderleftwith foreign body → S41.022
  • Punctureshoulderrightwith foreign body → S41.041
  • Punctureshoulderleftwith foreign body → S41.042
  • Puncturearm (upper)rightwith foreign body → S41.141
  • Puncturearm (upper)leftwith foreign body → S41.142

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

Hierarchy