2026 ICD-10-CM Diagnosis Code S47.9XXDCrushing injury of shoulder and upper arm, unspecified arm, subsequent encounter

ICD-10-CM Codes›S00–T88›S40-S49›S47

ICD-10-CM S47.9XXD
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S47.9XXD is a billable ICD-10-CM diagnosis code for crushing injury of shoulder and upper arm, unspecified 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, subsequent encounter.

Code Identity

ICD-10-CM Code
S47.9XXD
Billable Status
Yes — Valid for Submission
Code Describes
Crushing injury of shoulder and upper arm, unspecified arm, subsequent encounter
Short Description
Crushing injury of shoulder and upper arm, unsp arm, subs
Parent Code
S47.9
Crushing injury of shoulder and upper arm, unspecified arm

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS40-S49Injuries to the shoulder and upper arm
CategoryS47Crushing injury of shoulder and upper arm
This CodeS47.9XXDCrushing injury of shoulder and upper arm, unspecified arm, subsequent encounter

Present on Admission (POA)Billing

S47.9XXD 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.

  • Closed crush injury, axilla
  • Closed crush injury, clavicular area
  • Closed crush injury, scapular area
  • Closed crush injury, shoulder area
  • Closed crush injury, upper arm
  • Crush injury clavicular region
  • Crush injury, shoulder and upper arm
  • Crush injury, upper arm, multiple sites
  • Crushing injury of axillary region
  • Crushing injury of back
  • Crushing injury of chest
  • Crushing injury of multiple sites of upper limb
  • Crushing injury of scapular region
  • Crushing injury of shoulder region
  • Crushing injury of upper arm
  • Open crush injury, axilla
  • Open crush injury, clavicular area
  • Open crush injury, scapular area
  • Open crush injury, shoulder area
  • Open crush injury, upper arm
  • Open wound of scapular region

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.

CCSR INJ055
Crushing injury, subsequent 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 S47.9XXD to ICD-9-CMHistory

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

ICD-9-CM
V58.89 Other specfied aftercare
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 S47.9XXDOverview

Is S47.9XXD (Crushing injury of shoulder and upper arm, unspecified arm) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of shoulder and upper arm, unspecified arm, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S47.9XXD mean?

The final character D marks a subsequent encounter: use it for routine care while the crushing injury of shoulder and upper arm, unspecified arm is healing, after active treatment has ended.

What MS-DRG does S47.9XXD group to?

When crushing injury of shoulder and upper arm, unspecified 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 S47.9XXD 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 shoulder and upper arm, unspecified arm, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S47.9XXD?

Under the General Equivalence Mappings, crushing injury of shoulder and upper arm, unspecified 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.