DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S49 Other and unspecified injuries of shoulder and upper arm

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

S49 is not billable. The category heads 234 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

  • Injuryshoulder → S49.9-
  • Injuryarm (upper) → S49.9-
  • Injuryshoulderspecified type NEC → S49.8-

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. S49 Other and unspecified injuries of shoulder and upper arm
Billable codes
234
Subdivisions
4
CC / MCC codes
108 / 0
HCC V28 codes
0
New FY2027
0
Index entries
16

Codes in S49

  1. S49.0
    Physeal fracture of upper end of humerus
    Header
  2. S49.00
    Unspecified physeal fracture of upper end of humerus
    Header
  3. S49.001
    Unspecified physeal fracture of upper end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  4. S49.002
    Unspecified physeal fracture of upper end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  5. S49.009
    Unspecified physeal fracture of upper end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  6. S49.01
    Salter-Harris Type I physeal fracture of upper end of humerus
    Header
  7. S49.011
    Salter-Harris Type I physeal fracture of upper end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  8. S49.012
    Salter-Harris Type I physeal fracture of upper end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  9. S49.019
    Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  10. S49.02
    Salter-Harris Type II physeal fracture of upper end of humerus
    Header
  11. S49.021
    Salter-Harris Type II physeal fracture of upper end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  12. S49.022
    Salter-Harris Type II physeal fracture of upper end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  13. S49.029
    Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  14. S49.03
    Salter-Harris Type III physeal fracture of upper end of humerus
    Header
  15. S49.031
    Salter-Harris Type III physeal fracture of upper end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  16. S49.032
    Salter-Harris Type III physeal fracture of upper end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  17. S49.039
    Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  18. S49.04
    Salter-Harris Type IV physeal fracture of upper end of humerus
    Header
  19. S49.041
    Salter-Harris Type IV physeal fracture of upper end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  20. S49.042
    Salter-Harris Type IV physeal fracture of upper end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  21. S49.049
    Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  22. S49.09
    Other physeal fracture of upper end of humerus
    Header
  23. S49.091
    Other physeal fracture of upper end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  24. S49.092
    Other physeal fracture of upper end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  25. S49.099
    Other physeal fracture of upper end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  26. S49.1
    Physeal fracture of lower end of humerus
    Header
  27. S49.10
    Unspecified physeal fracture of lower end of humerus
    Header
  28. S49.101
    Unspecified physeal fracture of lower end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  29. S49.102
    Unspecified physeal fracture of lower end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  30. S49.109
    Unspecified physeal fracture of lower end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  31. S49.11
    Salter-Harris Type I physeal fracture of lower end of humerus
    Header
  32. S49.111
    Salter-Harris Type I physeal fracture of lower end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  33. S49.112
    Salter-Harris Type I physeal fracture of lower end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  34. S49.119
    Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  35. S49.12
    Salter-Harris Type II physeal fracture of lower end of humerus
    Header
  36. S49.121
    Salter-Harris Type II physeal fracture of lower end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  37. S49.122
    Salter-Harris Type II physeal fracture of lower end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  38. S49.129
    Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  39. S49.13
    Salter-Harris Type III physeal fracture of lower end of humerus
    Header
  40. S49.131
    Salter-Harris Type III physeal fracture of lower end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  41. S49.132
    Salter-Harris Type III physeal fracture of lower end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  42. S49.139
    Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  43. S49.14
    Salter-Harris Type IV physeal fracture of lower end of humerus
    Header
  44. S49.141
    Salter-Harris Type IV physeal fracture of lower end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  45. S49.142
    Salter-Harris Type IV physeal fracture of lower end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  46. S49.149
    Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  47. S49.19
    Other physeal fracture of lower end of humerus
    Header
  48. S49.191
    Other physeal fracture of lower end of humerus, right arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  49. S49.192
    Other physeal fracture of lower end of humerus, left arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  50. S49.199
    Other physeal fracture of lower end of humerus, unspecified arm +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  51. S49.8
    Other specified injuries of shoulder and upper arm
    Header
  52. S49.80
    Other specified injuries of shoulder and upper arm, unspecified arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  53. S49.81
    Other specified injuries of right shoulder and upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  54. S49.82
    Other specified injuries of left shoulder and upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  55. S49.9
    Unspecified injury of shoulder and upper arm
    Header
  56. S49.90
    Unspecified injury of shoulder and upper arm, unspecified arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  57. S49.91
    Unspecified injury of right shoulder and upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  58. S49.92
    Unspecified injury of left shoulder and upper arm +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

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 S49 defined here

The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1

7th characters for S49
7thMeaning (NCHS)
Ainitial encounter for closed fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Psubsequent encounter for fracture with malunion
Ssequela

7th characters for S49.8 defined at S49.8

The appropriate 7th character is to be added to each code in subcategory S49.8

7th characters for S49.8
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

7th characters for S49.9 defined at S49.9

The appropriate 7th character is to be added to each code in subcategory S49.9

7th characters for S49.9
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

  • Injuryarm (upper) → S49.9-
  • Injuryshoulder → S49.9-
  • Injuryarm (upper)specified type NEC → S49.8-
  • Injuryshoulderspecified type NEC → S49.8-
  • Fracture, traumatic (abduction) (adduction) (separation)humerusupper endphyseal → S49.00-
  • Fracture, traumatic (abduction) (adduction) (separation)humeruslower endphyseal → S49.10-
  • Fracture, traumatic (abduction) (adduction) (separation)humerusupper endphysealspecified NEC → S49.09-
  • Fracture, traumatic (abduction) (adduction) (separation)humeruslower endphysealspecified NEC → S49.19-
  • Fracture, traumatic (abduction) (adduction) (separation)humerusupper endphysealSalter-HarrisType I → S49.01-
  • Fracture, traumatic (abduction) (adduction) (separation)humerusupper endphysealSalter-HarrisType II → S49.02-
  • Fracture, traumatic (abduction) (adduction) (separation)humerusupper endphysealSalter-HarrisType III → S49.03-
  • Fracture, traumatic (abduction) (adduction) (separation)humerusupper endphysealSalter-HarrisType IV → S49.04-
  • Fracture, traumatic (abduction) (adduction) (separation)humeruslower endphysealSalter-HarrisType I → S49.11-
  • Fracture, traumatic (abduction) (adduction) (separation)humeruslower endphysealSalter-HarrisType II → S49.12-
  • Fracture, traumatic (abduction) (adduction) (separation)humeruslower endphysealSalter-HarrisType III → S49.13-
  • Fracture, traumatic (abduction) (adduction) (separation)humeruslower endphysealSalter-HarrisType IV → S49.14-

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

Hierarchy