Puncture wound without foreign body of left shoulder

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

S41.032A Puncture wound without foreign body of left shoulder, initial encounter
S41.032D Puncture wound without foreign body of left shoulder, subsequent encounter
S41.032S Puncture wound without foreign body of left shoulder, sequela

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2014 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2014 Added to the draft code set draft Puncture wound without foreign body of left shoulder

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S41 Open wound of shoulder and upper arm

Seventh character required

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

Excludes1 - never coded here

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

Excludes2 - not included here

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

Code also

any associated wound infection

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

Excludes2 - not included here

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

Includes

injuries of axilla
injuries of scapular region

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Injury > shoulder > open
Puncture > scapular region
Wound, open > scapular region
Wound, open > shoulder > puncture
Puncture > shoulder > left

Codes in the same group

Code	Description	Status
S41.031	Puncture wound without foreign body of right shoulder	Not billable
S41.039	Puncture wound without foreign body of unspecified shoulder	Not billable