2024 ICD-10-CM Diagnosis Code S41.009

Unspecified open wound of unspecified shoulder

ICD-10-CM Code:
S41.009
ICD-10 Code for:
Unspecified open wound of unspecified shoulder
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the shoulder and upper arm
      (S40-S49)
      • Open wound of shoulder and upper arm
        (S41)

S41.009 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified open wound of unspecified shoulder. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like S41.009 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding Applicable to Unspecified open wound of unspecified shoulder

Non-specific codes like S41.009 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for unspecified open wound of unspecified shoulder:

  • Use S41.009A for initial encounter - BILLABLE CODE

  • Use S41.009D for subsequent encounter - BILLABLE CODE

  • Use S41.009S for sequela - BILLABLE CODE

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Anterior dislocation of shoulder joint
  • Anterior dislocation of sternoclavicular joint
  • Anterior dislocation of sternoclavicular joint
  • Anterior dislocation of sternoclavicular joint
  • Anterior dislocation of sternoclavicular joint
  • Anterior subluxation of sternoclavicular joint
  • Anterior subluxation of sternoclavicular joint
  • Cut of axilla
  • Fracture dislocation of acromioclavicular joint
  • Fracture dislocation of acromioclavicular joint
  • Fracture dislocation of joint of shoulder girdle
  • Fracture dislocation of shoulder joint
  • Fracture dislocation of shoulder joint
  • Fracture dislocation of sternoclavicular joint
  • Fracture dislocation of sternoclavicular joint
  • Fracture dislocation of sternoclavicular joint
  • Fracture dislocation of sternoclavicular joint
  • Fracture of acromial process of scapula
  • Fracture of scapular body
  • Fracture subluxation of acromioclavicular joint
  • Fracture subluxation of shoulder joint
  • Fracture subluxation of sternoclavicular joint
  • Fracture subluxation of sternoclavicular joint
  • Glass in shoulder
  • Multiple open wounds of shoulder
  • Multiple open wounds of shoulder
  • Multiple open wounds of shoulder
  • Multiple open wounds of shoulder and upper arm
  • Multiple open wounds of shoulder with complication
  • Multiple open wounds of upper arm
  • Multiple open wounds of upper limb with complication
  • Multiple open wounds with complication
  • Open dislocation of glenohumeral joint
  • Open dislocation of glenohumeral joint
  • Open dislocation of glenohumeral joint
  • Open dislocation of shoulder region
  • Open division acromioclavicular ligament
  • Open division coracoclavicular ligament
  • Open division shoulder ligament
  • Open division, sternal ligament
  • Open division, sternoclavicular ligament
  • Open fracture dislocation acromioclavicular joint
  • Open fracture dislocation acromioclavicular joint
  • Open fracture dislocation of joint of shoulder girdle
  • Open fracture dislocation shoulder joint
  • Open fracture dislocation shoulder joint
  • Open fracture dislocation sternoclavicular joint, anterior
  • Open fracture dislocation sternoclavicular joint, anterior
  • Open fracture dislocation sternoclavicular joint, posterior
  • Open fracture dislocation sternoclavicular joint, posterior
  • Open fracture of acromial process of scapula
  • Open fracture of body of scapula
  • Open fracture of scapula
  • Open fracture of scapula
  • Open fracture subluxation of acromioclavicular joint
  • Open fracture subluxation shoulder joint
  • Open fracture subluxation sternoclavicular joint, anterior
  • Open fracture subluxation sternoclavicular joint, posterior
  • Open injury, suprascapular nerve
  • Open traumatic dislocation acromioclavicular joint
  • Open traumatic dislocation acromioclavicular joint
  • Open traumatic dislocation acromioclavicular joint
  • Open traumatic dislocation acromioclavicular joint
  • Open traumatic dislocation of glenohumeral joint, anterior
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation sternoclavicular joint
  • Open traumatic dislocation, sternoclavicular joint, anterior
  • Open traumatic dislocation, sternoclavicular joint, anterior
  • Open traumatic dislocation, sternoclavicular joint, anterior
  • Open traumatic dislocation, sternoclavicular joint, anterior
  • Open traumatic dislocation, sternoclavicular joint, posterior
  • Open traumatic dislocation, sternoclavicular joint, posterior
  • Open traumatic dislocation, sternoclavicular joint, posterior
  • Open traumatic dislocation, sternoclavicular joint, posterior
  • Open traumatic subluxation acromioclavicular joint
  • Open traumatic subluxation acromioclavicular joint
  • Open traumatic subluxation of sternum
  • Open traumatic subluxation of sternum
  • Open traumatic subluxation of sternum
  • Open traumatic subluxation of sternum
  • Open traumatic subluxation of sternum
  • Open traumatic subluxation shoulder joint
  • Open traumatic subluxation sternoclavicular joint
  • Open traumatic subluxation sternoclavicular joint
  • Open traumatic subluxation sternoclavicular joint
  • Open traumatic subluxation sternoclavicular joint
  • Open traumatic subluxation sternoclavicular joint
  • Open traumatic subluxation, sternoclavicular joint, anterior
  • Open traumatic subluxation, sternoclavicular joint, anterior
  • Open traumatic subluxation, sternoclavicular joint, posterior
  • Open traumatic subluxation, sternoclavicular joint, posterior
  • Open wound of shoulder region
  • Open wound of shoulder region with complication
  • Posterior dislocation of sternoclavicular joint
  • Posterior dislocation of sternoclavicular joint
  • Posterior dislocation of sternoclavicular joint
  • Posterior dislocation of sternoclavicular joint
  • Shoulder fracture - open
  • Subluxation of acromioclavicular joint
  • Subluxation of acromioclavicular joint
  • Suprascapular nerve injury
  • Suprascapular nerve lesion
  • Suprascapular neuropathy
  • Traumatic dislocation of acromioclavicular joint
  • Traumatic dislocation of acromioclavicular joint
  • Traumatic dislocation of acromioclavicular joint
  • Traumatic dislocation of acromioclavicular joint

Coding Guidelines

The appropriate 7th character is to be added to each code from block Open wound of shoulder and upper arm (S41). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Patient Education


Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include:

  • Animal bites
  • Bruises
  • Burns
  • Dislocations
  • Electrical injuries
  • Fractures (broken bones)
  • Sprains and strains

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.