2021 ICD-10-CM Code S48.91

Complete traumatic amputation of shoulder and upper arm, level unspecified

Version 2021

Not Valid for Submission

S48.91 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of complete traumatic amputation of shoulder and upper arm, level unspecified. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like S48.91 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

ICD-10:S48.91
Short Description:Complete traumatic amputation of shldr/up arm, level unsp
Long Description:Complete traumatic amputation of shoulder and upper arm, level unspecified

Code Classification

Coding Guidelines

The appropriate 7th character is to be added to each code from block Traumatic amputation of shoulder and upper arm (S48). Use the following options for the aplicable episode of care:

Specific Coding for Complete traumatic amputation of shldr/up arm, level unsp

Non-specific codes like S48.91 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for complete traumatic amputation of shldr/up arm, level unsp:

  • NON-BILLABLE CODE - S48.911 for Complete traumatic amputation of right shoulder and upper arm, level unspecified
  • BILLABLE CODE - Use S48.911A for initial encounter
  • BILLABLE CODE - Use S48.911D for subsequent encounter
  • BILLABLE CODE - Use S48.911S for sequela
  • NON-BILLABLE CODE - S48.912 for Complete traumatic amputation of left shoulder and upper arm, level unspecified
  • BILLABLE CODE - Use S48.912A for initial encounter
  • BILLABLE CODE - Use S48.912D for subsequent encounter
  • BILLABLE CODE - Use S48.912S for sequela
  • NON-BILLABLE CODE - S48.919 for Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified
  • BILLABLE CODE - Use S48.919A for initial encounter
  • BILLABLE CODE - Use S48.919D for subsequent encounter
  • BILLABLE CODE - Use S48.919S for sequela

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S48.91 are found in the index:

Information for Patients


Limb Loss

People can lose all or part of an arm or leg for a number of reasons. Common ones include

Some amputees have phantom pain, which is the feeling of pain in the missing limb. Other physical problems include surgical complications and skin problems, if you wear an artificial limb. Many amputees use an artificial limb. Learning how to use it takes time. Physical therapy can help you adapt.

Recovery from the loss of a limb can be hard. Sadness, anger, and frustration are common. If you are having a tough time, talk to your doctor. Treatment with medicine or counseling can help.


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)