2026 ICD-10-CM Diagnosis Code S44.10XAInjury of median nerve at upper arm level, unspecified arm, initial encounter

ICD-10-CM CodesS00–T88S40-S49S44

ICD-10-CM S44.10XA
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S44.10XA is a billable ICD-10-CM diagnosis code for injury of median nerve at upper arm level, unspecified arm, 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 963 through 965. Coders also document this condition as injury of median nerve. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to nerves, muscles and tendons, initial encounter.

Code Identity

ICD-10-CM Code
S44.10XA
Billable Status
Yes — Valid for Submission
Code Describes
Injury of median nerve at upper arm level, unspecified arm, initial encounter
Short Description
Injury of median nerve at upper arm level, unsp arm, init
Parent Code
Injury of median nerve at upper arm level, unspecified arm

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS40-S49Injuries to the shoulder and upper arm
CategoryS44Injury of nerves at shoulder and upper arm level
This CodeS44.10XAInjury of median nerve at upper arm level, unspecified arm, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Injury of median nerve
  • Injury of median nerve at upper arm level

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of nerves at shoulder and upper arm level (S44). 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 INJ025
Injury to nerves, muscles and tendons, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Peripheral Nerve Disorders

Nerves are like wires that carry messages back and forth between your brain and your body. Your peripheral nerves branch off from your brain and spinal cord and connect to all parts of your body, including your muscles and organs.

The full article covers:

  • What are peripheral nerves?
  • What are peripheral nerve disorders?
  • What causes peripheral nerve disorders?
  • What are the symptoms of peripheral nerve disorders?
  • How are peripheral nerve disorders diagnosed?
  • What are the treatments for peripheral nerve disorders?
  • Can peripheral nerve disorders be prevented?

Read the full article at MedlinePlus

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

Convert S44.10XA to ICD-9-CMHistory

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

ICD-9-CM
955.1 Injury median nerve
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 S44.10XAOverview

Is S44.10XA (Injury of median nerve at upper arm level, unspecified arm) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report injury of median nerve at upper arm level, unspecified arm, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S44.10XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for injury of median nerve at upper arm level, unspecified arm, such as an emergency visit or first evaluation.

What MS-DRG does S44.10XA group to?

When injury of median nerve at upper arm level, unspecified arm, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 963, 964, 965, with relative weights from 0.9405 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S44.10XA?

Under the General Equivalence Mappings, injury of median nerve at upper arm level, unspecified arm, initial encounter converts to ICD-9-CM 955.1 (injury median nerve). 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.