October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

S44 Injury of nerves at shoulder and upper arm level

All 72 codes in the S44 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

72

Can lead a claim

42

Cannot lead a claim

30

What CMS assigns to S44

42 of the 72 codes group to Neuro Rehabilitation; 30 are assigned no clinical group. None of the 72 is assigned a comorbidity subgroup. 42 of the 72 can lead a claim.

Every code in S44

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
S44.0 Injury of ulnar nerve at upper arm level
S44.00 Injury of ulnar nerve at upper arm level, unspecified arm
S44.00XAInjury of ulnar nerve at upper arm level, unspecified arm, initial encounterCMS: Injury of ulnar nerve at upper arm level, unsp arm, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.00XDInjury of ulnar nerve at upper arm level, unspecified arm, subsequent encounterCMS: Injury of ulnar nerve at upper arm level, unsp arm, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.00XSInjury of ulnar nerve at upper arm level, unspecified arm, sequelaCMS: Injury of ulnar nerve at upper arm level, unsp arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.01 Injury of ulnar nerve at upper arm level, right arm
S44.01XAInjury of ulnar nerve at upper arm level, right arm, initial encounterCMS: Injury of ulnar nerve at upper arm level, right arm, initCan lead a claimBNone
S44.01XDInjury of ulnar nerve at upper arm level, right arm, subsequent encounterCMS: Injury of ulnar nerve at upper arm level, right arm, subsCan lead a claimBNone
S44.01XSInjury of ulnar nerve at upper arm level, right arm, sequelaCan lead a claimBNone
S44.02 Injury of ulnar nerve at upper arm level, left arm
S44.02XAInjury of ulnar nerve at upper arm level, left arm, initial encounterCMS: Injury of ulnar nerve at upper arm level, left arm, initCan lead a claimBNone
S44.02XDInjury of ulnar nerve at upper arm level, left arm, subsequent encounterCMS: Injury of ulnar nerve at upper arm level, left arm, subsCan lead a claimBNone
S44.02XSInjury of ulnar nerve at upper arm level, left arm, sequelaCan lead a claimBNone
S44.1 Injury of median nerve at upper arm level
S44.10 Injury of median nerve at upper arm level, unspecified arm
S44.10XAInjury of median nerve at upper arm level, unspecified arm, initial encounterCMS: Injury of median nerve at upper arm level, unsp arm, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.10XDInjury of median nerve at upper arm level, unspecified arm, subsequent encounterCMS: Injury of median nerve at upper arm level, unsp arm, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.10XSInjury of median nerve at upper arm level, unspecified arm, sequelaCMS: Injury of median nerve at upper arm level, unsp arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.11 Injury of median nerve at upper arm level, right arm
S44.11XAInjury of median nerve at upper arm level, right arm, initial encounterCMS: Injury of median nerve at upper arm level, right arm, initCan lead a claimBNone
S44.11XDInjury of median nerve at upper arm level, right arm, subsequent encounterCMS: Injury of median nerve at upper arm level, right arm, subsCan lead a claimBNone
S44.11XSInjury of median nerve at upper arm level, right arm, sequelaCMS: Injury of median nrv at upper arm level, right arm, sequelaCan lead a claimBNone
S44.12 Injury of median nerve at upper arm level, left arm
S44.12XAInjury of median nerve at upper arm level, left arm, initial encounterCMS: Injury of median nerve at upper arm level, left arm, initCan lead a claimBNone
S44.12XDInjury of median nerve at upper arm level, left arm, subsequent encounterCMS: Injury of median nerve at upper arm level, left arm, subsCan lead a claimBNone
S44.12XSInjury of median nerve at upper arm level, left arm, sequelaCan lead a claimBNone
S44.2 Injury of radial nerve at upper arm level
S44.20 Injury of radial nerve at upper arm level, unspecified arm
S44.20XAInjury of radial nerve at upper arm level, unspecified arm, initial encounterCMS: Injury of radial nerve at upper arm level, unsp arm, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.20XDInjury of radial nerve at upper arm level, unspecified arm, subsequent encounterCMS: Injury of radial nerve at upper arm level, unsp arm, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.20XSInjury of radial nerve at upper arm level, unspecified arm, sequelaCMS: Injury of radial nerve at upper arm level, unsp arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.21 Injury of radial nerve at upper arm level, right arm
S44.21XAInjury of radial nerve at upper arm level, right arm, initial encounterCMS: Injury of radial nerve at upper arm level, right arm, initCan lead a claimBNone
S44.21XDInjury of radial nerve at upper arm level, right arm, subsequent encounterCMS: Injury of radial nerve at upper arm level, right arm, subsCan lead a claimBNone
S44.21XSInjury of radial nerve at upper arm level, right arm, sequelaCMS: Injury of radial nrv at upper arm level, right arm, sequelaCan lead a claimBNone
S44.22 Injury of radial nerve at upper arm level, left arm
S44.22XAInjury of radial nerve at upper arm level, left arm, initial encounterCMS: Injury of radial nerve at upper arm level, left arm, initCan lead a claimBNone
S44.22XDInjury of radial nerve at upper arm level, left arm, subsequent encounterCMS: Injury of radial nerve at upper arm level, left arm, subsCan lead a claimBNone
S44.22XSInjury of radial nerve at upper arm level, left arm, sequelaCan lead a claimBNone
S44.3 Injury of axillary nerve
S44.30 Injury of axillary nerve, unspecified arm
S44.30XAInjury of axillary nerve, unspecified arm, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.30XDInjury of axillary nerve, unspecified arm, subsequent encounterCMS: Injury of axillary nerve, unspecified arm, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.30XSInjury of axillary nerve, unspecified arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.31 Injury of axillary nerve, right arm
S44.31XAInjury of axillary nerve, right arm, initial encounterCan lead a claimBNone
S44.31XDInjury of axillary nerve, right arm, subsequent encounterCan lead a claimBNone
S44.31XSInjury of axillary nerve, right arm, sequelaCan lead a claimBNone
S44.32 Injury of axillary nerve, left arm
S44.32XAInjury of axillary nerve, left arm, initial encounterCan lead a claimBNone
S44.32XDInjury of axillary nerve, left arm, subsequent encounterCan lead a claimBNone
S44.32XSInjury of axillary nerve, left arm, sequelaCan lead a claimBNone
S44.4 Injury of musculocutaneous nerve
S44.40 Injury of musculocutaneous nerve, unspecified arm
S44.40XAInjury of musculocutaneous nerve, unspecified arm, initial encounterCMS: Injury of musculocutaneous nerve, unsp arm, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.40XDInjury of musculocutaneous nerve, unspecified arm, subsequent encounterCMS: Injury of musculocutaneous nerve, unsp arm, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.40XSInjury of musculocutaneous nerve, unspecified arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.41 Injury of musculocutaneous nerve, right arm
S44.41XAInjury of musculocutaneous nerve, right arm, initial encounterCMS: Injury of musculocutaneous nerve, right arm, init encntrCan lead a claimBNone
S44.41XDInjury of musculocutaneous nerve, right arm, subsequent encounterCMS: Injury of musculocutaneous nerve, right arm, subs encntrCan lead a claimBNone
S44.41XSInjury of musculocutaneous nerve, right arm, sequelaCan lead a claimBNone
S44.42 Injury of musculocutaneous nerve, left arm
S44.42XAInjury of musculocutaneous nerve, left arm, initial encounterCMS: Injury of musculocutaneous nerve, left arm, init encntrCan lead a claimBNone
S44.42XDInjury of musculocutaneous nerve, left arm, subsequent encounterCMS: Injury of musculocutaneous nerve, left arm, subs encntrCan lead a claimBNone
S44.42XSInjury of musculocutaneous nerve, left arm, sequelaCan lead a claimBNone
S44.5 Injury of cutaneous sensory nerve at shoulder and upper arm level
S44.50 Injury of cutaneous sensory nerve at shoulder and upper arm level, unspecified arm
S44.50XAInjury of cutaneous sensory nerve at shoulder and upper arm level, unspecified arm, initial encounterCMS: Inj cutan sensory nerve at shldr/up arm, unsp arm, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.50XDInjury of cutaneous sensory nerve at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Inj cutan sensory nerve at shldr/up arm, unsp arm, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.50XSInjury of cutaneous sensory nerve at shoulder and upper arm level, unspecified arm, sequelaCMS: Inj cutan sensory nerve at shldr/up arm, unsp arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.51 Injury of cutaneous sensory nerve at shoulder and upper arm level, right arm
S44.51XAInjury of cutaneous sensory nerve at shoulder and upper arm level, right arm, initial encounterCMS: Inj cutan sensory nerve at shldr/up arm, right arm, initCan lead a claimBNone
S44.51XDInjury of cutaneous sensory nerve at shoulder and upper arm level, right arm, subsequent encounterCMS: Inj cutan sensory nerve at shldr/up arm, right arm, subsCan lead a claimBNone
S44.51XSInjury of cutaneous sensory nerve at shoulder and upper arm level, right arm, sequelaCMS: Inj cutan sensory nerve at shldr/up arm, right arm, sequelaCan lead a claimBNone
S44.52 Injury of cutaneous sensory nerve at shoulder and upper arm level, left arm
S44.52XAInjury of cutaneous sensory nerve at shoulder and upper arm level, left arm, initial encounterCMS: Inj cutan sensory nerve at shldr/up arm, left arm, initCan lead a claimBNone
S44.52XDInjury of cutaneous sensory nerve at shoulder and upper arm level, left arm, subsequent encounterCMS: Inj cutan sensory nerve at shldr/up arm, left arm, subsCan lead a claimBNone
S44.52XSInjury of cutaneous sensory nerve at shoulder and upper arm level, left arm, sequelaCMS: Inj cutan sensory nerve at shldr/up arm, left arm, sequelaCan lead a claimBNone
S44.8 Injury of other nerves at shoulder and upper arm level
S44.8X Injury of other nerves at shoulder and upper arm level
S44.8X1 Injury of other nerves at shoulder and upper arm level, right arm
S44.8X1AInjury of other nerves at shoulder and upper arm level, right arm, initial encounterCMS: Injury of nerves at shldr/up arm, right arm, initCan lead a claimBNone
S44.8X1DInjury of other nerves at shoulder and upper arm level, right arm, subsequent encounterCMS: Injury of nerves at shldr/up arm, right arm, subsCan lead a claimBNone
S44.8X1SInjury of other nerves at shoulder and upper arm level, right arm, sequelaCMS: Injury of nerves at shldr/up arm, right arm, sequelaCan lead a claimBNone
S44.8X2 Injury of other nerves at shoulder and upper arm level, left arm
S44.8X2AInjury of other nerves at shoulder and upper arm level, left arm, initial encounterCMS: Injury of nerves at shldr/up arm, left arm, initCan lead a claimBNone
S44.8X2DInjury of other nerves at shoulder and upper arm level, left arm, subsequent encounterCMS: Injury of nerves at shldr/up arm, left arm, subsCan lead a claimBNone
S44.8X2SInjury of other nerves at shoulder and upper arm level, left arm, sequelaCMS: Injury of nerves at shldr/up arm, left arm, sequelaCan lead a claimBNone
S44.8X9 Injury of other nerves at shoulder and upper arm level, unspecified arm
S44.8X9AInjury of other nerves at shoulder and upper arm level, unspecified arm, initial encounterCMS: Injury of nerves at shldr/up arm, unsp arm, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.8X9DInjury of other nerves at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Injury of nerves at shldr/up arm, unsp arm, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.8X9SInjury of other nerves at shoulder and upper arm level, unspecified arm, sequelaCMS: Injury of nerves at shldr/up arm, unsp arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.9 Injury of unspecified nerve at shoulder and upper arm level
S44.90 Injury of unspecified nerve at shoulder and upper arm level, unspecified arm
S44.90XAInjury of unspecified nerve at shoulder and upper arm level, unspecified arm, initial encounterCMS: Injury of unsp nerve at shldr/up arm, unsp arm, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.90XDInjury of unspecified nerve at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Injury of unsp nerve at shldr/up arm, unsp arm, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.90XSInjury of unspecified nerve at shoulder and upper arm level, unspecified arm, sequelaCMS: Injury of unsp nerve at shldr/up arm, unsp arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.91 Injury of unspecified nerve at shoulder and upper arm level, right arm
S44.91XAInjury of unspecified nerve at shoulder and upper arm level, right arm, initial encounterCMS: Injury of unsp nerve at shldr/up arm, right arm, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.91XDInjury of unspecified nerve at shoulder and upper arm level, right arm, subsequent encounterCMS: Injury of unsp nerve at shldr/up arm, right arm, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.91XSInjury of unspecified nerve at shoulder and upper arm level, right arm, sequelaCMS: Injury of unsp nerve at shldr/up arm, right arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.92 Injury of unspecified nerve at shoulder and upper arm level, left arm
S44.92XAInjury of unspecified nerve at shoulder and upper arm level, left arm, initial encounterCMS: Injury of unsp nerve at shldr/up arm, left arm, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.92XDInjury of unspecified nerve at shoulder and upper arm level, left arm, subsequent encounterCMS: Injury of unsp nerve at shldr/up arm, left arm, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S44.92XSInjury of unspecified nerve at shoulder and upper arm level, left arm, sequelaCMS: Injury of unsp nerve at shldr/up arm, left arm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

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.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue