2026 ICD-10-CM Diagnosis Code S45.909AUnspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, initial encounter

ICD-10-CM Codes›S00–T88›S40-S49›S45

ICD-10-CM S45.909A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S45.909A is a billable ICD-10-CM diagnosis code for unspecified injury of unspecified blood vessel at shoulder and 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 913 through 914, 963 through 965. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. Coders also document this condition as axillary blood vessel injury. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to blood vessels, initial encounter.

Code Identity

ICD-10-CM Code
S45.909A
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, initial encounter
Short Description
Unsp inj unsp blood vess at shldr/up arm, unsp arm, init
Parent Code
S45.909
Unspecified injury of unspecified blood vessel at shoulder and 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
CategoryS45Injury of blood vessels at shoulder and upper arm level
This CodeS45.909AUnspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, initial encounter

Code EditsBilling

Medicare Code Editor checks that affect claim validity for S45.909A.

Unspecified codes
Unspecified codes exist in the ICD-10-CM classification for circumstances when documentation in the medical record does not provide the level of detail needed to support reporting a more specific code. However, in the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported. The following pages contain the list of unspecified ICD-10-CM diagnosis codes for which there is a more specific code to identify laterality (right, left, bilateral) within that code family.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Axillary blood vessel injury
  • Injury of blood vessel of upper arm
  • Injury of multiple blood vessels at shoulder and upper arm level
  • Injury of multiple blood vessels of upper extremity

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of blood vessels at shoulder and upper arm level (S45). 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 INJ016
Injury to blood vessels, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Arm Injuries and Disorders

Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.

Read the full article at MedlinePlus

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

Convert S45.909A to ICD-9-CMHistory

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

ICD-9-CM
903.9 Injury arm vessel NOS
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 S45.909AOverview

Is S45.909A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified injury of unspecified blood vessel at shoulder and 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 S45.909A mean?

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

What MS-DRG does S45.909A group to?

When unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, 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 S45.909A?

Under the General Equivalence Mappings, unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, initial encounter converts to ICD-9-CM 903.9 (injury arm vessel NOS). 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.