2026 ICD-10-CM Diagnosis Code S41.049SPuncture wound with foreign body of unspecified shoulder, sequela
S41.049S is a billable ICD-10-CM diagnosis code for puncture wound with 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 fishing hook in shoulder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S41.049S 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.
- Fishing hook in shoulder
- 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
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S41.049S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S41.049SOverview
What is the ICD-10 code for puncture wound with foreign body of unspecified shoulder, sequela?
The ICD-10-CM code for puncture wound with foreign body of unspecified shoulder, sequela is S41.049S (sometimes written as S41049S). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is S41.049S (Puncture wound with foreign body of unspecified shoulder) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound with 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 S41.049S 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 unspecified shoulder itself has resolved, not the original event.
What MS-DRG does S41.049S group to?
When puncture wound with 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 S41.049S 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 unspecified 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.
