ICD-10 · PDGM grouping
S41 Open wound of shoulder and upper arm
All 108 codes in the S41 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
108
Can lead a claim
72
Cannot lead a claim
36
What CMS assigns to S41
72 of the 108 codes group to Wound; 36 are assigned no clinical group. None of the 108 is assigned a comorbidity subgroup. 72 of the 108 can lead a claim.
Every code in S41
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S41.0 Open wound of shoulder | ||||
| S41.00 Unspecified open wound of shoulder | ||||
| S41.001 Unspecified open wound of right shoulder | ||||
| S41.001A | Unspecified open wound of right shoulder, initial encounter | Can lead a claim | C | None |
| S41.001D | Unspecified open wound of right shoulder, subsequent encounterCMS: Unspecified open wound of right shoulder, subs encntr | Can lead a claim | C | None |
| S41.001S | Unspecified open wound of right shoulder, sequela | Can lead a claim | C | None |
| S41.002 Unspecified open wound of left shoulder | ||||
| S41.002A | Unspecified open wound of left shoulder, initial encounter | Can lead a claim | C | None |
| S41.002D | Unspecified open wound of left shoulder, subsequent encounterCMS: Unspecified open wound of left shoulder, subs encntr | Can lead a claim | C | None |
| S41.002S | Unspecified open wound of left shoulder, sequela | Can lead a claim | C | None |
| S41.009 Unspecified open wound of unspecified shoulder | ||||
| S41.009A | Unspecified open wound of unspecified shoulder, initial encounterCMS: Unspecified open wound of unspecified shoulder, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.009D | Unspecified open wound of unspecified shoulder, subsequent encounterCMS: Unspecified open wound of unspecified shoulder, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.009S | Unspecified open wound of unspecified shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.01 Laceration without foreign body of shoulder | ||||
| S41.011 Laceration without foreign body of right shoulder | ||||
| S41.011A | Laceration without foreign body of right shoulder, initial encounterCMS: Laceration w/o foreign body of right shoulder, init encntr | Can lead a claim | C | None |
| S41.011D | Laceration without foreign body of right shoulder, subsequent encounterCMS: Laceration w/o foreign body of right shoulder, subs encntr | Can lead a claim | C | None |
| S41.011S | Laceration without foreign body of right shoulder, sequela | Can lead a claim | C | None |
| S41.012 Laceration without foreign body of left shoulder | ||||
| S41.012A | Laceration without foreign body of left shoulder, initial encounterCMS: Laceration w/o foreign body of left shoulder, init encntr | Can lead a claim | C | None |
| S41.012D | Laceration without foreign body of left shoulder, subsequent encounterCMS: Laceration w/o foreign body of left shoulder, subs encntr | Can lead a claim | C | None |
| S41.012S | Laceration without foreign body of left shoulder, sequela | Can lead a claim | C | None |
| S41.019 Laceration without foreign body of unspecified shoulder | ||||
| S41.019A | Laceration without foreign body of unspecified shoulder, initial encounterCMS: Laceration w/o foreign body of unsp shoulder, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.019D | Laceration without foreign body of unspecified shoulder, subsequent encounterCMS: Laceration w/o foreign body of unsp shoulder, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.019S | Laceration without foreign body of unspecified shoulder, sequelaCMS: Laceration without foreign body of unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.02 Laceration with foreign body of shoulder | ||||
| S41.021 Laceration with foreign body of right shoulder | ||||
| S41.021A | Laceration with foreign body of right shoulder, initial encounterCMS: Laceration with foreign body of right shoulder, init encntr | Can lead a claim | C | None |
| S41.021D | Laceration with foreign body of right shoulder, subsequent encounterCMS: Laceration with foreign body of right shoulder, subs encntr | Can lead a claim | C | None |
| S41.021S | Laceration with foreign body of right shoulder, sequela | Can lead a claim | C | None |
| S41.022 Laceration with foreign body of left shoulder | ||||
| S41.022A | Laceration with foreign body of left shoulder, initial encounterCMS: Laceration with foreign body of left shoulder, init encntr | Can lead a claim | C | None |
| S41.022D | Laceration with foreign body of left shoulder, subsequent encounterCMS: Laceration with foreign body of left shoulder, subs encntr | Can lead a claim | C | None |
| S41.022S | Laceration with foreign body of left shoulder, sequela | Can lead a claim | C | None |
| S41.029 Laceration with foreign body of unspecified shoulder | ||||
| S41.029A | Laceration with foreign body of unspecified shoulder, initial encounterCMS: Laceration with foreign body of unsp shoulder, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.029D | Laceration with foreign body of unspecified shoulder, subsequent encounterCMS: Laceration with foreign body of unsp shoulder, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.029S | Laceration with foreign body of unspecified shoulder, sequelaCMS: Laceration with foreign body of unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.03 Puncture wound without foreign body of shoulder | ||||
| S41.031 Puncture wound without foreign body of right shoulder | ||||
| S41.031A | Puncture wound without foreign body of right shoulder, initial encounterCMS: Puncture wound w/o foreign body of right shoulder, init | Can lead a claim | C | None |
| S41.031D | Puncture wound without foreign body of right shoulder, subsequent encounterCMS: Puncture wound w/o foreign body of right shoulder, subs | Can lead a claim | C | None |
| S41.031S | Puncture wound without foreign body of right shoulder, sequelaCMS: Puncture wound w/o foreign body of right shoulder, sequela | Can lead a claim | C | None |
| S41.032 Puncture wound without foreign body of left shoulder | ||||
| S41.032A | Puncture wound without foreign body of left shoulder, initial encounterCMS: Puncture wound w/o foreign body of left shoulder, init | Can lead a claim | C | None |
| S41.032D | Puncture wound without foreign body of left shoulder, subsequent encounterCMS: Puncture wound w/o foreign body of left shoulder, subs | Can lead a claim | C | None |
| S41.032S | Puncture wound without foreign body of left shoulder, sequelaCMS: Puncture wound w/o foreign body of left shoulder, sequela | Can lead a claim | C | None |
| S41.039 Puncture wound without foreign body of unspecified shoulder | ||||
| S41.039A | Puncture wound without foreign body of unspecified shoulder, initial encounterCMS: Puncture wound w/o foreign body of unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.039D | Puncture wound without foreign body of unspecified shoulder, subsequent encounterCMS: Puncture wound w/o foreign body of unsp shoulder, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.039S | Puncture wound without foreign body of unspecified shoulder, sequelaCMS: Puncture wound w/o foreign body of unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.04 Puncture wound with foreign body of shoulder | ||||
| S41.041 Puncture wound with foreign body of right shoulder | ||||
| S41.041A | Puncture wound with foreign body of right shoulder, initial encounterCMS: Puncture wound w foreign body of right shoulder, init encntr | Can lead a claim | C | None |
| S41.041D | Puncture wound with foreign body of right shoulder, subsequent encounterCMS: Puncture wound w foreign body of right shoulder, subs encntr | Can lead a claim | C | None |
| S41.041S | Puncture wound with foreign body of right shoulder, sequela | Can lead a claim | C | None |
| S41.042 Puncture wound with foreign body of left shoulder | ||||
| S41.042A | Puncture wound with foreign body of left shoulder, initial encounterCMS: Puncture wound w foreign body of left shoulder, init encntr | Can lead a claim | C | None |
| S41.042D | Puncture wound with foreign body of left shoulder, subsequent encounterCMS: Puncture wound w foreign body of left shoulder, subs encntr | Can lead a claim | C | None |
| S41.042S | Puncture wound with foreign body of left shoulder, sequela | Can lead a claim | C | None |
| S41.049 Puncture wound with foreign body of unspecified shoulder | ||||
| S41.049A | Puncture wound with foreign body of unspecified shoulder, initial encounterCMS: Puncture wound w foreign body of unsp shoulder, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.049D | Puncture wound with foreign body of unspecified shoulder, subsequent encounterCMS: Puncture wound w foreign body of unsp shoulder, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.049S | Puncture wound with foreign body of unspecified shoulder, sequelaCMS: Puncture wound with foreign body of unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.05 Open bite of shoulder | ||||
| S41.051 Open bite of right shoulder | ||||
| S41.051A | Open bite of right shoulder, initial encounter | Can lead a claim | C | None |
| S41.051D | Open bite of right shoulder, subsequent encounter | Can lead a claim | C | None |
| S41.051S | Open bite of right shoulder, sequela | Can lead a claim | C | None |
| S41.052 Open bite of left shoulder | ||||
| S41.052A | Open bite of left shoulder, initial encounter | Can lead a claim | C | None |
| S41.052D | Open bite of left shoulder, subsequent encounter | Can lead a claim | C | None |
| S41.052S | Open bite of left shoulder, sequela | Can lead a claim | C | None |
| S41.059 Open bite of unspecified shoulder | ||||
| S41.059A | Open bite of unspecified shoulder, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.059D | Open bite of unspecified shoulder, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.059S | Open bite of unspecified shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.1 Open wound of upper arm | ||||
| S41.10 Unspecified open wound of upper arm | ||||
| S41.101 Unspecified open wound of right upper arm | ||||
| S41.101A | Unspecified open wound of right upper arm, initial encounter | Can lead a claim | C | None |
| S41.101D | Unspecified open wound of right upper arm, subsequent encounterCMS: Unspecified open wound of right upper arm, subs encntr | Can lead a claim | C | None |
| S41.101S | Unspecified open wound of right upper arm, sequela | Can lead a claim | C | None |
| S41.102 Unspecified open wound of left upper arm | ||||
| S41.102A | Unspecified open wound of left upper arm, initial encounter | Can lead a claim | C | None |
| S41.102D | Unspecified open wound of left upper arm, subsequent encounterCMS: Unspecified open wound of left upper arm, subs encntr | Can lead a claim | C | None |
| S41.102S | Unspecified open wound of left upper arm, sequela | Can lead a claim | C | None |
| S41.109 Unspecified open wound of unspecified upper arm | ||||
| S41.109A | Unspecified open wound of unspecified upper arm, initial encounterCMS: Unspecified open wound of unspecified upper arm, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.109D | Unspecified open wound of unspecified upper arm, subsequent encounterCMS: Unspecified open wound of unspecified upper arm, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.109S | Unspecified open wound of unspecified upper arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.11 Laceration without foreign body of upper arm | ||||
| S41.111 Laceration without foreign body of right upper arm | ||||
| S41.111A | Laceration without foreign body of right upper arm, initial encounterCMS: Laceration w/o foreign body of right upper arm, init encntr | Can lead a claim | C | None |
| S41.111D | Laceration without foreign body of right upper arm, subsequent encounterCMS: Laceration w/o foreign body of right upper arm, subs encntr | Can lead a claim | C | None |
| S41.111S | Laceration without foreign body of right upper arm, sequela | Can lead a claim | C | None |
| S41.112 Laceration without foreign body of left upper arm | ||||
| S41.112A | Laceration without foreign body of left upper arm, initial encounterCMS: Laceration w/o foreign body of left upper arm, init encntr | Can lead a claim | C | None |
| S41.112D | Laceration without foreign body of left upper arm, subsequent encounterCMS: Laceration w/o foreign body of left upper arm, subs encntr | Can lead a claim | C | None |
| S41.112S | Laceration without foreign body of left upper arm, sequela | Can lead a claim | C | None |
| S41.119 Laceration without foreign body of unspecified upper arm | ||||
| S41.119A | Laceration without foreign body of unspecified upper arm, initial encounterCMS: Laceration w/o foreign body of unsp upper arm, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.119D | Laceration without foreign body of unspecified upper arm, subsequent encounterCMS: Laceration w/o foreign body of unsp upper arm, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.119S | Laceration without foreign body of unspecified upper arm, sequelaCMS: Laceration without foreign body of unsp upper arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.12 Laceration with foreign body of upper arm | ||||
| S41.121 Laceration with foreign body of right upper arm | ||||
| S41.121A | Laceration with foreign body of right upper arm, initial encounterCMS: Laceration with foreign body of right upper arm, init encntr | Can lead a claim | C | None |
| S41.121D | Laceration with foreign body of right upper arm, subsequent encounterCMS: Laceration with foreign body of right upper arm, subs encntr | Can lead a claim | C | None |
| S41.121S | Laceration with foreign body of right upper arm, sequela | Can lead a claim | C | None |
| S41.122 Laceration with foreign body of left upper arm | ||||
| S41.122A | Laceration with foreign body of left upper arm, initial encounterCMS: Laceration with foreign body of left upper arm, init encntr | Can lead a claim | C | None |
| S41.122D | Laceration with foreign body of left upper arm, subsequent encounterCMS: Laceration with foreign body of left upper arm, subs encntr | Can lead a claim | C | None |
| S41.122S | Laceration with foreign body of left upper arm, sequela | Can lead a claim | C | None |
| S41.129 Laceration with foreign body of unspecified upper arm | ||||
| S41.129A | Laceration with foreign body of unspecified upper arm, initial encounterCMS: Laceration with foreign body of unsp upper arm, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.129D | Laceration with foreign body of unspecified upper arm, subsequent encounterCMS: Laceration with foreign body of unsp upper arm, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.129S | Laceration with foreign body of unspecified upper arm, sequelaCMS: Laceration with foreign body of unsp upper arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.13 Puncture wound without foreign body of upper arm | ||||
| S41.131 Puncture wound without foreign body of right upper arm | ||||
| S41.131A | Puncture wound without foreign body of right upper arm, initial encounterCMS: Puncture wound w/o foreign body of right upper arm, init | Can lead a claim | C | None |
| S41.131D | Puncture wound without foreign body of right upper arm, subsequent encounterCMS: Puncture wound w/o foreign body of right upper arm, subs | Can lead a claim | C | None |
| S41.131S | Puncture wound without foreign body of right upper arm, sequelaCMS: Puncture wound w/o foreign body of right upper arm, sequela | Can lead a claim | C | None |
| S41.132 Puncture wound without foreign body of left upper arm | ||||
| S41.132A | Puncture wound without foreign body of left upper arm, initial encounterCMS: Puncture wound w/o foreign body of left upper arm, init | Can lead a claim | C | None |
| S41.132D | Puncture wound without foreign body of left upper arm, subsequent encounterCMS: Puncture wound w/o foreign body of left upper arm, subs | Can lead a claim | C | None |
| S41.132S | Puncture wound without foreign body of left upper arm, sequelaCMS: Puncture wound w/o foreign body of left upper arm, sequela | Can lead a claim | C | None |
| S41.139 Puncture wound without foreign body of unspecified upper arm | ||||
| S41.139A | Puncture wound without foreign body of unspecified upper arm, initial encounterCMS: Puncture wound w/o foreign body of unsp upper arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.139D | Puncture wound without foreign body of unspecified upper arm, subsequent encounterCMS: Puncture wound w/o foreign body of unsp upper arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.139S | Puncture wound without foreign body of unspecified upper arm, sequelaCMS: Puncture wound w/o foreign body of unsp upper arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.14 Puncture wound with foreign body of upper arm | ||||
| S41.141 Puncture wound with foreign body of right upper arm | ||||
| S41.141A | Puncture wound with foreign body of right upper arm, initial encounterCMS: Puncture wound w foreign body of right upper arm, init | Can lead a claim | C | None |
| S41.141D | Puncture wound with foreign body of right upper arm, subsequent encounterCMS: Puncture wound w foreign body of right upper arm, subs | Can lead a claim | C | None |
| S41.141S | Puncture wound with foreign body of right upper arm, sequela | Can lead a claim | C | None |
| S41.142 Puncture wound with foreign body of left upper arm | ||||
| S41.142A | Puncture wound with foreign body of left upper arm, initial encounterCMS: Puncture wound w foreign body of left upper arm, init encntr | Can lead a claim | C | None |
| S41.142D | Puncture wound with foreign body of left upper arm, subsequent encounterCMS: Puncture wound w foreign body of left upper arm, subs encntr | Can lead a claim | C | None |
| S41.142S | Puncture wound with foreign body of left upper arm, sequela | Can lead a claim | C | None |
| S41.149 Puncture wound with foreign body of unspecified upper arm | ||||
| S41.149A | Puncture wound with foreign body of unspecified upper arm, initial encounterCMS: Puncture wound w foreign body of unsp upper arm, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.149D | Puncture wound with foreign body of unspecified upper arm, subsequent encounterCMS: Puncture wound w foreign body of unsp upper arm, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.149S | Puncture wound with foreign body of unspecified upper arm, sequelaCMS: Puncture wound with foreign body of unsp upper arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.15 Open bite of upper arm | ||||
| S41.151 Open bite of right upper arm | ||||
| S41.151A | Open bite of right upper arm, initial encounter | Can lead a claim | C | None |
| S41.151D | Open bite of right upper arm, subsequent encounter | Can lead a claim | C | None |
| S41.151S | Open bite of right upper arm, sequela | Can lead a claim | C | None |
| S41.152 Open bite of left upper arm | ||||
| S41.152A | Open bite of left upper arm, initial encounter | Can lead a claim | C | None |
| S41.152D | Open bite of left upper arm, subsequent encounter | Can lead a claim | C | None |
| S41.152S | Open bite of left upper arm, sequela | Can lead a claim | C | None |
| S41.159 Open bite of unspecified upper arm | ||||
| S41.159A | Open bite of unspecified upper arm, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.159D | Open bite of unspecified upper arm, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S41.159S | Open bite of unspecified upper arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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