2026 ICD-10-CM Diagnosis Code S48.011SComplete traumatic amputation at right shoulder joint, sequela
ICD-10-CM Codes›S00–T88›S40-S49›S48
- Billable — Valid for Submission
- POA Exempt
- 7th Character S — Sequela
- Chronic Condition
S48.011S is a billable ICD-10-CM diagnosis code for complete traumatic amputation at right shoulder joint, 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 559 through 561. The code is exempt from POA reporting. Coders also document this condition as amputated at shoulder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S48.011S 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.
- Amputated at shoulder
- Bilateral traumatic amputation of upper limbs
- Traumatic amputation at left shoulder joint
- Traumatic amputation at right shoulder joint
- Traumatic amputation at shoulder joint of both shoulders
- Traumatic amputation, through shoulder
Coding GuidelinesGuidance
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 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
Limb Loss
People can lose all or part of an arm or leg for many reasons. Common ones include:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S48.011S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S48.011SOverview
Is S48.011S (Complete traumatic amputation at right shoulder joint) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report complete traumatic amputation at right shoulder joint, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S48.011S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the complete traumatic amputation at right shoulder joint itself has resolved, not the original event.
What MS-DRG does S48.011S group to?
When complete traumatic amputation at right shoulder joint, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 559, 560, 561, with relative weights from 0.8039 to 1.8649 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S48.011S 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 complete traumatic amputation at right shoulder joint, sequela on inpatient claims.
What is the ICD-9 equivalent of S48.011S?
Under the General Equivalence Mappings, complete traumatic amputation at right shoulder joint, sequela converts to ICD-9-CM 905.9 (late eff traumat amputat). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
