2026 ICD-10-CM Diagnosis Code S47.9XXSCrushing injury of shoulder and upper arm, unspecified arm, sequela

ICD-10-CM Codes›S00–T88›S40-S49›S47

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

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

Code Identity

ICD-10-CM Code
S47.9XXS
Billable Status
Yes — Valid for Submission
Code Describes
Crushing injury of shoulder and upper arm, unspecified arm, sequela
Short Description
Crushing injury of shoulder and upper arm, unsp arm, sequela
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 CodeS47.9XXSCrushing injury of shoulder and upper arm, unspecified arm, sequela

Present on Admission (POA)Billing

S47.9XXS 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 INJ073
Injury, sequela
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 S47.9XXS to ICD-9-CMHistory

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

ICD-9-CM
906.4 Late effect of crushing
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 S47.9XXSOverview

Is S47.9XXS (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, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in S47.9XXS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the crushing injury of shoulder and upper arm, unspecified arm itself has resolved, not the original event.

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

When crushing injury of shoulder and upper arm, unspecified arm, 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 S47.9XXS 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, sequela on inpatient claims.

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

Under the General Equivalence Mappings, crushing injury of shoulder and upper arm, unspecified arm, sequela converts to ICD-9-CM 906.4 (late effect of crushing). 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.