Valid for Submission
S40.219S is a billable diagnosis code used to specify a medical diagnosis of abrasion of unspecified shoulder, sequela. The code S40.219S is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S40.219S might also be used to specify conditions or terms like abrasion and/or friction burn of back with infection, abrasion and/or friction burn of back without infection, abrasion and/or friction burn of chest wall with infection, abrasion and/or friction burn of chest wall without infection, abrasion and/or friction burn of scapular region with infection , abrasion and/or friction burn of scapular region without infection, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S40.219S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like abrasion of unspecified shoulder. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
Unspecified diagnosis codes like S40.219S 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.
The appropriate 7th character is to be added to each code from block Superficial injury of shoulder and upper arm (S40). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abrasion and/or friction burn of back with infection
- Abrasion and/or friction burn of back without infection
- Abrasion and/or friction burn of chest wall with infection
- Abrasion and/or friction burn of chest wall without infection
- Abrasion and/or friction burn of scapular region with infection
- Abrasion and/or friction burn of scapular region without infection
- Abrasion and/or friction burn of shoulder and/or upper arm, infected
- Abrasion and/or friction burn of shoulder with infection
- Abrasion and/or friction burn of shoulder without infection
- Abrasion and/or friction burn of upper limb without infection
- Abrasion of back, infected
- Abrasion of chest wall, infected
- Abrasion of scapular region, infected
- Abrasion of shoulder, infected
- Abrasion, back
- Abrasion, back
- Abrasion, clavicular area
- Abrasion, scapular area
- Abrasion, shoulder area
- Open wound of scapular region
- Scratch of shoulder
- Superficial injury of scapular region with infection
- Superficial injury of shoulder with infection
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|604||TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC||09||1.4913|
|605||TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC||09||0.9092|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
Convert S40.219S to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S40.219S its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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
- Electrical injuries
- Fractures (broken bones)
- Sprains and strains
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