2026 ICD-10-CM Diagnosis Code S41.031SPuncture wound without foreign body of right shoulder, sequela
S41.031S is a billable ICD-10-CM diagnosis code for puncture wound without foreign body 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. Coders also document this condition as gunshot wound of right shoulder region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S41.031S 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.
- Gunshot wound of right shoulder region
- Gunshot wound of shoulder region
- Puncture wound of right shoulder region
- Puncture wound of shoulder
- Stab wound of right shoulder
Coding GuidelinesGuidance
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 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
Shoulder Injuries and Disorders
Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it.
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Convert S41.031S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S41.031SOverview
What is the ICD-10 code for puncture wound without foreign body of right shoulder, sequela?
The ICD-10-CM code for puncture wound without foreign body of right shoulder, sequela is S41.031S (sometimes written as S41031S). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is S41.031S (Puncture wound without foreign body of right shoulder) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound without foreign body of right shoulder, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S41.031S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the puncture wound without foreign body of right shoulder itself has resolved, not the original event.
What MS-DRG does S41.031S group to?
When puncture wound without foreign body 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 S41.031S 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 puncture wound without foreign body of right shoulder, sequela on inpatient claims. The code appears in the Injuries to the shoulder and upper arm (S40-S49) range of the CMS exempt list.
