2026 ICD-10-CM Diagnosis Code S41.042SPuncture wound with foreign body of left shoulder, sequela
S41.042S is a billable ICD-10-CM diagnosis code for puncture wound with foreign body of left 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 puncture wound of left shoulder region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S41.042S 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.
- Puncture wound of left shoulder region
- Puncture wound of left 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 S41.042S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S41.042SOverview
Is S41.042S (Puncture wound with foreign body of left shoulder) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound with foreign body of left shoulder, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S41.042S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the puncture wound with foreign body of left shoulder itself has resolved, not the original event.
What MS-DRG does S41.042S group to?
When puncture wound with foreign body of left 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 S41.042S 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 with foreign body of left shoulder, sequela on inpatient claims.
What is the ICD-9 equivalent of S41.042S?
Under the General Equivalence Mappings, puncture wound with foreign body of left 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.
