2026 ICD-10-CM Diagnosis Code S41.039SPuncture wound without foreign body of unspecified shoulder, sequela

ICD-10-CM Codes›S00–T88›S40-S49›S41

ICD-10-CM S41.039S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S41.039S is a billable ICD-10-CM diagnosis code for puncture wound without foreign body of unspecified 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 shoulder region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.

Code Identity

ICD-10-CM Code
S41.039S
Billable Status
Yes — Valid for Submission
Code Describes
Puncture wound without foreign body of unspecified shoulder, sequela
Short Description
Puncture wound w/o foreign body of unsp shoulder, sequela
Parent Code
S41.039
Puncture wound without foreign body of unspecified shoulder

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS40-S49Injuries to the shoulder and upper arm
CategoryS41Open wound of shoulder and upper arm
This CodeS41.039SPuncture wound without foreign body of unspecified shoulder, sequela

Present on Admission (POA)Billing

S41.039S 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.

  • Gunshot wound of shoulder region
  • Nail wound of axilla
  • Nail wound of shoulder
  • Needle stick injury of shoulder
  • Pellet wound of shoulder
  • Puncture wound of shoulder
  • Puncture wound of shoulder without foreign body

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.

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S41.039S to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
906.1 Late eff open wnd extrem
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S41.039SOverview

Is S41.039S (Puncture wound without foreign body of unspecified shoulder) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound without foreign body of unspecified shoulder, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in S41.039S 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 unspecified shoulder itself has resolved, not the original event.

What MS-DRG does S41.039S group to?

When puncture wound without foreign body of unspecified 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 S41.039S 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 unspecified shoulder, sequela on inpatient claims.

What is the ICD-9 equivalent of S41.039S?

Under the General Equivalence Mappings, puncture wound without foreign body of unspecified shoulder, sequela converts to ICD-9-CM 906.1 (late eff open wnd extrem). 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.