2026 ICD-10-CM Diagnosis Code S48.919DComplete traumatic amputation of unspecified shoulder and upper arm, level unspecified, subsequent encounter

ICD-10-CM Codes›S00–T88›S40-S49›S48

ICD-10-CM S48.919D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S48.919D is a billable ICD-10-CM diagnosis code for complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, 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 Amputation of a limb, subsequent encounter.

Code Identity

ICD-10-CM Code
S48.919D
Billable Status
Yes — Valid for Submission
Code Describes
Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, subsequent encounter
Short Description
Complete traum amp of unsp shldr/up arm, level unsp, subs
Parent Code
S48.919
Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS40-S49Injuries to the shoulder and upper arm
CategoryS48Traumatic amputation of shoulder and upper arm
This CodeS48.919DComplete traumatic amputation of unspecified shoulder and upper arm, level unspecified, subsequent encounter

Present on Admission (POA)Billing

S48.919D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

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.

CCSR INJ051
Amputation of a limb, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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 S48.919D 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 S48.919DOverview

Is S48.919D a billable code?

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

What does the 7th character D in S48.919D mean?

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

What MS-DRG does S48.919D group to?

When complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, 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 S48.919D 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 of unspecified shoulder and upper arm, level unspecified, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S48.919D?

Under the General Equivalence Mappings, complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, 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] 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.