2026 ICD-10-CM Diagnosis Code S40.011SContusion of right shoulder, sequela
S40.011S is a billable ICD-10-CM diagnosis code for contusion of right shoulder, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S40.011S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Contusion of clavicular area
- Contusion of latissimus dorsi muscle
- Contusion of right chest wall
- Contusion of right clavicular region
- Contusion of right latissimus dorsi muscle
- Contusion of right shoulder
- Contusion of scapular region
- Hematoma of right shoulder
- Hematoma of shoulder region
- Intramuscular contusion
- Right shoulder skeletal muscle injury
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Bruises
A bruise is a mark on your skin caused by blood trapped under the surface. It happens when an injury crushes small blood vessels but does not break the skin. Those vessels break open and leak blood under the skin.
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Convert S40.011S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S40.011SOverview
Is S40.011S (Contusion of right shoulder) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report contusion of right shoulder, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S40.011S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the contusion of right shoulder itself has resolved, not the original event.
What MS-DRG does S40.011S group to?
When contusion of right shoulder, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S40.011S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for contusion of right shoulder, sequela on inpatient claims.
What is the ICD-9 equivalent of S40.011S?
Under the General Equivalence Mappings, contusion of right shoulder, sequela converts to ICD-9-CM 906.3 (late effect of contusion). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
