2027 ICD-10-CM Diagnosis Code S40.219DAbrasion of unspecified shoulder, subsequent encounter
S40.219D is a billable ICD-10-CM diagnosis code for abrasion of unspecified shoulder, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S40.219D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the shoulder and upper arm (S40-S49).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this 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 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 skin of clavicular region
- Abrasion of skin of posterior wall of chest
- Abrasion of skin of scapular region of back
- Abrasion of skin of shoulder
- Infected abrasion of skin of back
- Infected abrasion of skin of scapular region of back
- Infected abrasion of skin of shoulder
- Open wound of scapular region
- Scratch of shoulder
- Superficial injury of back without infection
- Superficial injury of scapular region with infection
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 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S40.219D: its own notes plus those printed at S40, block S40-S49, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- injuries of axilla
- injuries of scapular region
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S40
- Ainitial encounter
- Dsubsequent encounter this code
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S40.219D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S40.219DOverview
What is the ICD-10 code for abrasion of unspecified shoulder, subsequent encounter?
The ICD-10-CM code for abrasion of unspecified shoulder, subsequent encounter is S40.219D (sometimes written as S40219D). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is S40.219D (Abrasion of unspecified shoulder) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report abrasion of unspecified shoulder, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S40.219D mean?
The final character D marks a subsequent encounter: use it for routine care while the abrasion of unspecified shoulder is healing, after active treatment has ended.
What MS-DRG does S40.219D group to?
When abrasion of unspecified shoulder, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S40.219D 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 abrasion of unspecified shoulder, subsequent encounter on inpatient claims. The code appears in the Injuries to the shoulder and upper arm (S40-S49) range of the CMS exempt list.
