2026 ICD-10-CM Diagnosis Code S41.041APuncture wound with foreign body of right shoulder, initial encounter
S41.041A is a billable ICD-10-CM diagnosis code for puncture wound with foreign body of right shoulder, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 913 through 914, 963 through 965. Coders also document this condition as puncture wound of right shoulder region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Puncture wound of right shoulder region
- Puncture wound of right shoulder with foreign body
- Puncture wound of shoulder
- Puncture wound of shoulder region with 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.
Patient EducationClinical
Foreign Bodies
If you've ever gotten a splinter or had sand in your eye, you've had experience with a foreign body. A foreign body is something that is stuck inside you but isn't supposed to be there. You may inhale or swallow a foreign body, or you may get one from an injury to almost any part of your body.
Read the full article at MedlinePlus
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Convert S41.041A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S41.041AOverview
Is S41.041A (Puncture wound with foreign body of right shoulder) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound with foreign body of right shoulder, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S41.041A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for puncture wound with foreign body of right shoulder, such as an emergency visit or first evaluation.
What MS-DRG does S41.041A group to?
When puncture wound with foreign body of right shoulder, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 913, 914, 963, 964, 965, with relative weights from 0.8855 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S41.041A?
Under the General Equivalence Mappings, puncture wound with foreign body of right shoulder, initial encounter converts to ICD-9-CM 880.10 (open wnd shoulder-compl), 880.11 (open wound scapula-compl), and 880.12 (open wound axilla-compl). 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.
