S40 Superficial injury of shoulder and upper arm

S40.0 Contusion of shoulder and upper arm

S40.7 Multiple superficial injuries of shoulder and upper arm

S40.8 Other superficial injuries of shoulder and upper arm

S40.9 Superficial injury of shoulder and upper arm, unspecified

S41 Open wound of shoulder and upper arm

Excl.:

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

S41.0 Open wound of shoulder

S41.1 Open wound of upper arm

S41.7 Multiple open wounds of shoulder and upper arm

S41.8 Open wound of other and unspecified parts of shoulder girdle

S42 Fracture of shoulder and upper arm

Modifier-Hint

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code	Title
0	closed
1	open

S42.0 Fracture of clavicle

Incl.:

Clavicle:

• acromial end
• shaft

Collar bone

S42.1 Fracture of scapula

Incl.:

Acromial process

Acromion (process)

Scapula (body)(glenoid cavity)(neck)

Shoulder blade

S42.2 Fracture of upper end of humerus

Incl.:

Anatomical neck

Great tuberosity

Proximal end

Surgical neck

Upper epiphysis

S42.3 Fracture of shaft of humerus

Incl.:

Humerus NOS

Upper arm NOS

S42.4 Fracture of lower end of humerus

Incl.:

Articular process

Distal end

External condyle

Intercondylar

Internal epicondyle

Lower epiphysis

Supracondylar

Excl.:

fracture of elbow NOS ( S52.0)

S42.7 Multiple fractures of clavicle, scapula and humerus

S42.8 Fracture of other parts of shoulder and upper arm

S42.9 Fracture of shoulder girdle, part unspecified

Incl.:

Fracture of shoulder NOS

S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle

S43.0 Dislocation of shoulder joint

Incl.:

Glenohumeral joint

S43.1 Dislocation of acromioclavicular joint

S43.2 Dislocation of sternoclavicular joint

S43.3 Dislocation of other and unspecified parts of shoulder girdle

Incl.:

Dislocation of shoulder girdle NOS

S43.4 Sprain and strain of shoulder joint

Incl.:

Coracohumeral (ligament)

Rotator cuff capsule

S43.5 Sprain and strain of acromioclavicular joint

Incl.:

Acromioclavicular ligament

S43.6 Sprain and strain of sternoclavicular joint

S43.7 Sprain and strain of other and unspecified parts of shoulder girdle

Incl.:

Sprain and strain of shoulder girdle NOS

S44 Injury of nerves at shoulder and upper arm level

Excl.:

injury of brachial plexus ( S14.3)

S44.0 Injury of ulnar nerve at upper arm level

Excl.:

ulnar nerve NOS ( S54.0)

S44.1 Injury of median nerve at upper arm level

Excl.:

median nerve NOS ( S54.1)

S44.2 Injury of radial nerve at upper arm level

Excl.:

radial nerve NOS ( S54.2)

S44.3 Injury of axillary nerve

S44.4 Injury of musculocutaneous nerve

S44.5 Injury of cutaneous sensory nerve at shoulder and upper arm level

S44.7 Injury of multiple nerves at shoulder and upper arm level

S44.8 Injury of other nerves at shoulder and upper arm level

S44.9 Injury of unspecified nerve at shoulder and upper arm level

S45 Injury of blood vessels at shoulder and upper arm level

Excl.:

injury of subclavian:

• artery (S25.1)
• vein (S25.3)

S45.0 Injury of axillary artery

S45.1 Injury of brachial artery

S45.2 Injury of axillary or brachial vein

S45.3 Injury of superficial vein at shoulder and upper arm level

S45.7 Injury of multiple blood vessels at shoulder and upper arm level

S45.8 Injury of other blood vessels at shoulder and upper arm level

S45.9 Injury of unspecified blood vessel at shoulder and upper arm level

S46 Injury of muscle and tendon at shoulder and upper arm level

Excl.:

injury of muscle and tendon at or below elbow ( S56.-)

S46.0 Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder

S46.1 Injury of muscle and tendon of long head of biceps

S46.2 Injury of muscle and tendon of other parts of biceps

S46.3 Injury of muscle and tendon of triceps

S46.7 Injury of multiple muscles and tendons at shoulder and upper arm level

S46.8 Injury of other muscles and tendons at shoulder and upper arm level

S46.9 Injury of unspecified muscle and tendon at shoulder and upper arm level

S47 Crushing injury of shoulder and upper arm

Excl.:

crushing injury of elbow ( S57.0)

S48 Traumatic amputation of shoulder and upper arm

Excl.:

traumatic amputation:

• at elbow level (S58.0)
• of arm, level unspecified (T11.6)

S48.0 Traumatic amputation at shoulder joint

S48.1 Traumatic amputation at level between shoulder and elbow

S48.9 Traumatic amputation of shoulder and upper arm, level unspecified

S49 Other and unspecified injuries of shoulder and upper arm

S49.7 Multiple injuries of shoulder and upper arm

Incl.:

Injuries classifiable to more than one of the categories S40-S48

S49.8 Other specified injuries of shoulder and upper arm

S49.9 Unspecified injury of shoulder and upper arm