2026 ICD-10-CM Diagnosis Code S47.1XXDCrushing injury of right shoulder and upper arm, subsequent encounter
S47.1XXD is a billable ICD-10-CM diagnosis code for crushing injury of right shoulder and upper arm, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as crushing injury of right shoulder region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S47.1XXD 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.
- Crushing injury of right shoulder region
- Crushing injury of right upper arm
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Crushing injury of shoulder and upper arm (S47). 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
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
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Convert S47.1XXD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S47.1XXDOverview
Is S47.1XXD (Crushing injury of right shoulder and upper arm) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of right shoulder and upper arm, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S47.1XXD mean?
The final character D marks a subsequent encounter: use it for routine care while the crushing injury of right shoulder and upper arm is healing, after active treatment has ended.
What MS-DRG does S47.1XXD group to?
When crushing injury of right shoulder and upper arm, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S47.1XXD 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 crushing injury of right shoulder and upper arm, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S47.1XXD?
Under the General Equivalence Mappings, crushing injury of right shoulder and upper arm, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.
