2026 ICD-10-CM Diagnosis Code S49Other and unspecified injuries of shoulder and upper arm

ICD-10-CM Codes›S00–T88›S40-S49›S49

ICD-10-CM S49
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S49 is a non-billable ICD-10-CM category code for other and unspecified injuries of shoulder and upper arm, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S49.001A, S49.001D, S49.001G, and S49.001K.

Code Identity

ICD-10-CM Code
S49
Billable Status
No — Non-Billable Category
Code Describes
Other and unspecified injuries of shoulder and upper arm
Short Description
Other and unspecified injuries of shoulder and upper arm
Same as the full description in the CMS dataset.
Chapter
S40-S49
Injuries to the shoulder and upper arm

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS40-S49Injuries to the shoulder and upper arm
CategoryS49Other and unspecified injuries of shoulder and upper arm
This CodeS49Other and unspecified injuries of shoulder and upper arm

Specific Coding for Other and unspecified injuries of shoulder and upper armOverview

Non-specific codes like S49 require more characters. Use one of these billable codes instead:

  • S49.0 for Physeal fracture of upper end of humerus

  • S49.00 for Unspecified physeal fracture of upper end of humerus

  • S49.01 for Salter-Harris Type I physeal fracture of upper end of humerus

  • S49.02 for Salter-Harris Type II physeal fracture of upper end of humerus

  • S49.03 for Salter-Harris Type III physeal fracture of upper end of humerus

  • S49.04 for Salter-Harris Type IV physeal fracture of upper end of humerus

  • S49.09 for Other physeal fracture of upper end of humerus

  • S49.1 for Physeal fracture of lower end of humerus

  • S49.10 for Unspecified physeal fracture of lower end of humerus

  • S49.11 for Salter-Harris Type I physeal fracture of lower end of humerus

  • S49.12 for Salter-Harris Type II physeal fracture of lower end of humerus

  • S49.13 for Salter-Harris Type III physeal fracture of lower end of humerus

  • S49.14 for Salter-Harris Type IV physeal fracture of lower end of humerus

  • S49.19 for Other physeal fracture of lower end of humerus

  • S49.8 for Other specified injuries of shoulder and upper arm

  • S49.80 for Other specified injuries of shoulder and upper arm, unspecified arm

  • S49.81 for Other specified injuries of right shoulder and upper arm

  • S49.82 for Other specified injuries of left shoulder and upper arm

  • S49.9 for Unspecified injury of shoulder and upper arm

  • S49.90 for Unspecified injury of shoulder and upper arm, unspecified arm

  • S49.91 for Unspecified injury of right shoulder and upper arm

  • S49.92 for Unspecified injury of left shoulder and upper arm

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Other and unspecified injuries of shoulder and upper arm (S49). 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.

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

7th Character Note

  • The appropriate 7th character is to be added to each code from subcategories S49.0 S49.1

7th Character

  • A - initial encounter for closed fracture
  • D - subsequent encounter for fracture with routine healing
  • G - subsequent encounter for fracture with delayed healing
  • K - subsequent encounter for fracture with nonunion
  • P - subsequent encounter for fracture with malunion
  • S - sequela

Patient EducationClinical

Shoulder Injuries and Disorders

Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

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 S49Overview

Is S49 (Other and unspecified injuries of shoulder and upper arm) a billable code?

No. This is a category header that groups the codes for other and unspecified injuries of shoulder and upper arm, and headers cannot be submitted on claims. Claims for other and unspecified injuries of shoulder and upper arm need a more specific code from this category, such as S49.001A, S49.001D, and S49.001G.