ICD-10 · PDGM grouping
S45 Injury of blood vessels at shoulder and upper arm level
All 162 codes in the S45 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.
Codes in family
162
Can lead a claim
60
Cannot lead a claim
102
What CMS assigns to S45
60 of the 162 codes group to MMTA - Other (30) and Wound (30); 102 are assigned no clinical group. None of the 162 is assigned a comorbidity subgroup. 60 of the 162 can lead a claim.
Every code in S45
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 |
|---|---|---|---|---|
| S45.0 Injury of axillary artery | ||||
| S45.00 Unspecified injury of axillary artery | ||||
| S45.001 Unspecified injury of axillary artery, right side | ||||
| S45.001A | Unspecified injury of axillary artery, right side, initial encounterCMS: Unsp injury of axillary artery, right side, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.001D | Unspecified injury of axillary artery, right side, subsequent encounterCMS: Unsp injury of axillary artery, right side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.001S | Unspecified injury of axillary artery, right side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.002 Unspecified injury of axillary artery, left side | ||||
| S45.002A | Unspecified injury of axillary artery, left side, initial encounterCMS: Unsp injury of axillary artery, left side, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.002D | Unspecified injury of axillary artery, left side, subsequent encounterCMS: Unsp injury of axillary artery, left side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.002S | Unspecified injury of axillary artery, left side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.009 Unspecified injury of axillary artery, unspecified side | ||||
| S45.009A | Unspecified injury of axillary artery, unspecified side, initial encounterCMS: Unsp injury of axillary artery, unsp side, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.009D | Unspecified injury of axillary artery, unspecified side, subsequent encounterCMS: Unsp injury of axillary artery, unsp side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.009S | Unspecified injury of axillary artery, unspecified side, sequelaCMS: Unsp injury of axillary artery, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.01 Laceration of axillary artery | ||||
| S45.011 Laceration of axillary artery, right side | ||||
| S45.011A | Laceration of axillary artery, right side, initial encounter | Can lead a claim | C | None |
| S45.011D | Laceration of axillary artery, right side, subsequent encounterCMS: Laceration of axillary artery, right side, subs encntr | Can lead a claim | C | None |
| S45.011S | Laceration of axillary artery, right side, sequela | Can lead a claim | C | None |
| S45.012 Laceration of axillary artery, left side | ||||
| S45.012A | Laceration of axillary artery, left side, initial encounter | Can lead a claim | C | None |
| S45.012D | Laceration of axillary artery, left side, subsequent encounterCMS: Laceration of axillary artery, left side, subs encntr | Can lead a claim | C | None |
| S45.012S | Laceration of axillary artery, left side, sequela | Can lead a claim | C | None |
| S45.019 Laceration of axillary artery, unspecified side | ||||
| S45.019A | Laceration of axillary artery, unspecified side, initial encounterCMS: Laceration of axillary artery, unspecified side, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.019D | Laceration of axillary artery, unspecified side, subsequent encounterCMS: Laceration of axillary artery, unspecified side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.019S | Laceration of axillary artery, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.09 Other specified injury of axillary artery | ||||
| S45.091 Other specified injury of axillary artery, right side | ||||
| S45.091A | Other specified injury of axillary artery, right side, initial encounterCMS: Oth injury of axillary artery, right side, init encntr | Can lead a claim | A | None |
| S45.091D | Other specified injury of axillary artery, right side, subsequent encounterCMS: Oth injury of axillary artery, right side, subs encntr | Can lead a claim | A | None |
| S45.091S | Other specified injury of axillary artery, right side, sequelaCMS: Oth injury of axillary artery, right side, sequela | Can lead a claim | A | None |
| S45.092 Other specified injury of axillary artery, left side | ||||
| S45.092A | Other specified injury of axillary artery, left side, initial encounterCMS: Oth injury of axillary artery, left side, init encntr | Can lead a claim | A | None |
| S45.092D | Other specified injury of axillary artery, left side, subsequent encounterCMS: Oth injury of axillary artery, left side, subs encntr | Can lead a claim | A | None |
| S45.092S | Other specified injury of axillary artery, left side, sequelaCMS: Oth injury of axillary artery, left side, sequela | Can lead a claim | A | None |
| S45.099 Other specified injury of axillary artery, unspecified side | ||||
| S45.099A | Other specified injury of axillary artery, unspecified side, initial encounterCMS: Oth injury of axillary artery, unspecified side, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.099D | Other specified injury of axillary artery, unspecified side, subsequent encounterCMS: Oth injury of axillary artery, unspecified side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.099S | Other specified injury of axillary artery, unspecified side, sequelaCMS: Oth injury of axillary artery, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.1 Injury of brachial artery | ||||
| S45.10 Unspecified injury of brachial artery | ||||
| S45.101 Unspecified injury of brachial artery, right side | ||||
| S45.101A | Unspecified injury of brachial artery, right side, initial encounterCMS: Unsp injury of brachial artery, right side, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.101D | Unspecified injury of brachial artery, right side, subsequent encounterCMS: Unsp injury of brachial artery, right side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.101S | Unspecified injury of brachial artery, right side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.102 Unspecified injury of brachial artery, left side | ||||
| S45.102A | Unspecified injury of brachial artery, left side, initial encounterCMS: Unsp injury of brachial artery, left side, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.102D | Unspecified injury of brachial artery, left side, subsequent encounterCMS: Unsp injury of brachial artery, left side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.102S | Unspecified injury of brachial artery, left side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.109 Unspecified injury of brachial artery, unspecified side | ||||
| S45.109A | Unspecified injury of brachial artery, unspecified side, initial encounterCMS: Unsp injury of brachial artery, unsp side, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.109D | Unspecified injury of brachial artery, unspecified side, subsequent encounterCMS: Unsp injury of brachial artery, unsp side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.109S | Unspecified injury of brachial artery, unspecified side, sequelaCMS: Unsp injury of brachial artery, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.11 Laceration of brachial artery | ||||
| S45.111 Laceration of brachial artery, right side | ||||
| S45.111A | Laceration of brachial artery, right side, initial encounter | Can lead a claim | C | None |
| S45.111D | Laceration of brachial artery, right side, subsequent encounterCMS: Laceration of brachial artery, right side, subs encntr | Can lead a claim | C | None |
| S45.111S | Laceration of brachial artery, right side, sequela | Can lead a claim | C | None |
| S45.112 Laceration of brachial artery, left side | ||||
| S45.112A | Laceration of brachial artery, left side, initial encounter | Can lead a claim | C | None |
| S45.112D | Laceration of brachial artery, left side, subsequent encounterCMS: Laceration of brachial artery, left side, subs encntr | Can lead a claim | C | None |
| S45.112S | Laceration of brachial artery, left side, sequela | Can lead a claim | C | None |
| S45.119 Laceration of brachial artery, unspecified side | ||||
| S45.119A | Laceration of brachial artery, unspecified side, initial encounterCMS: Laceration of brachial artery, unspecified side, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.119D | Laceration of brachial artery, unspecified side, subsequent encounterCMS: Laceration of brachial artery, unspecified side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.119S | Laceration of brachial artery, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.19 Other specified injury of brachial artery | ||||
| S45.191 Other specified injury of brachial artery, right side | ||||
| S45.191A | Other specified injury of brachial artery, right side, initial encounterCMS: Oth injury of brachial artery, right side, init encntr | Can lead a claim | A | None |
| S45.191D | Other specified injury of brachial artery, right side, subsequent encounterCMS: Oth injury of brachial artery, right side, subs encntr | Can lead a claim | A | None |
| S45.191S | Other specified injury of brachial artery, right side, sequelaCMS: Oth injury of brachial artery, right side, sequela | Can lead a claim | A | None |
| S45.192 Other specified injury of brachial artery, left side | ||||
| S45.192A | Other specified injury of brachial artery, left side, initial encounterCMS: Oth injury of brachial artery, left side, init encntr | Can lead a claim | A | None |
| S45.192D | Other specified injury of brachial artery, left side, subsequent encounterCMS: Oth injury of brachial artery, left side, subs encntr | Can lead a claim | A | None |
| S45.192S | Other specified injury of brachial artery, left side, sequelaCMS: Oth injury of brachial artery, left side, sequela | Can lead a claim | A | None |
| S45.199 Other specified injury of brachial artery, unspecified side | ||||
| S45.199A | Other specified injury of brachial artery, unspecified side, initial encounterCMS: Oth injury of brachial artery, unspecified side, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.199D | Other specified injury of brachial artery, unspecified side, subsequent encounterCMS: Oth injury of brachial artery, unspecified side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.199S | Other specified injury of brachial artery, unspecified side, sequelaCMS: Oth injury of brachial artery, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.2 Injury of axillary or brachial vein | ||||
| S45.20 Unspecified injury of axillary or brachial vein | ||||
| S45.201 Unspecified injury of axillary or brachial vein, right side | ||||
| S45.201A | Unspecified injury of axillary or brachial vein, right side, initial encounterCMS: Unsp injury of axillary or brachial vein, right side, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.201D | Unspecified injury of axillary or brachial vein, right side, subsequent encounterCMS: Unsp injury of axillary or brachial vein, right side, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.201S | Unspecified injury of axillary or brachial vein, right side, sequelaCMS: Unsp injury of axillary or brach vein, right side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.202 Unspecified injury of axillary or brachial vein, left side | ||||
| S45.202A | Unspecified injury of axillary or brachial vein, left side, initial encounterCMS: Unsp injury of axillary or brachial vein, left side, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.202D | Unspecified injury of axillary or brachial vein, left side, subsequent encounterCMS: Unsp injury of axillary or brachial vein, left side, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.202S | Unspecified injury of axillary or brachial vein, left side, sequelaCMS: Unsp injury of axillary or brachial vein, left side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.209 Unspecified injury of axillary or brachial vein, unspecified side | ||||
| S45.209A | Unspecified injury of axillary or brachial vein, unspecified side, initial encounterCMS: Unsp injury of axillary or brachial vein, unsp side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.209D | Unspecified injury of axillary or brachial vein, unspecified side, subsequent encounterCMS: Unsp injury of axillary or brachial vein, unsp side, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.209S | Unspecified injury of axillary or brachial vein, unspecified side, sequelaCMS: Unsp injury of axillary or brachial vein, unsp side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.21 Laceration of axillary or brachial vein | ||||
| S45.211 Laceration of axillary or brachial vein, right side | ||||
| S45.211A | Laceration of axillary or brachial vein, right side, initial encounterCMS: Laceration of axillary or brachial vein, right side, init | Can lead a claim | C | None |
| S45.211D | Laceration of axillary or brachial vein, right side, subsequent encounterCMS: Laceration of axillary or brachial vein, right side, subs | Can lead a claim | C | None |
| S45.211S | Laceration of axillary or brachial vein, right side, sequela | Can lead a claim | C | None |
| S45.212 Laceration of axillary or brachial vein, left side | ||||
| S45.212A | Laceration of axillary or brachial vein, left side, initial encounterCMS: Laceration of axillary or brachial vein, left side, init | Can lead a claim | C | None |
| S45.212D | Laceration of axillary or brachial vein, left side, subsequent encounterCMS: Laceration of axillary or brachial vein, left side, subs | Can lead a claim | C | None |
| S45.212S | Laceration of axillary or brachial vein, left side, sequela | Can lead a claim | C | None |
| S45.219 Laceration of axillary or brachial vein, unspecified side | ||||
| S45.219A | Laceration of axillary or brachial vein, unspecified side, initial encounterCMS: Laceration of axillary or brachial vein, unsp side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.219D | Laceration of axillary or brachial vein, unspecified side, subsequent encounterCMS: Laceration of axillary or brachial vein, unsp side, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.219S | Laceration of axillary or brachial vein, unspecified side, sequelaCMS: Laceration of axillary or brachial vein, unsp side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.29 Other specified injury of axillary or brachial vein | ||||
| S45.291 Other specified injury of axillary or brachial vein, right side | ||||
| S45.291A | Other specified injury of axillary or brachial vein, right side, initial encounterCMS: Inj axillary or brachial vein, right side, init encntr | Can lead a claim | A | None |
| S45.291D | Other specified injury of axillary or brachial vein, right side, subsequent encounterCMS: Inj axillary or brachial vein, right side, subs encntr | Can lead a claim | A | None |
| S45.291S | Other specified injury of axillary or brachial vein, right side, sequelaCMS: Oth injury of axillary or brachial vein, right side, sequela | Can lead a claim | A | None |
| S45.292 Other specified injury of axillary or brachial vein, left side | ||||
| S45.292A | Other specified injury of axillary or brachial vein, left side, initial encounterCMS: Inj axillary or brachial vein, left side, init encntr | Can lead a claim | A | None |
| S45.292D | Other specified injury of axillary or brachial vein, left side, subsequent encounterCMS: Inj axillary or brachial vein, left side, subs encntr | Can lead a claim | A | None |
| S45.292S | Other specified injury of axillary or brachial vein, left side, sequelaCMS: Oth injury of axillary or brachial vein, left side, sequela | Can lead a claim | A | None |
| S45.299 Other specified injury of axillary or brachial vein, unspecified side | ||||
| S45.299A | Other specified injury of axillary or brachial vein, unspecified side, initial encounterCMS: Inj axillary or brachial vein, unsp side, init encntr | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.299D | Other specified injury of axillary or brachial vein, unspecified side, subsequent encounterCMS: Inj axillary or brachial vein, unsp side, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.299S | Other specified injury of axillary or brachial vein, unspecified side, sequelaCMS: Oth injury of axillary or brachial vein, unsp side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.3 Injury of superficial vein at shoulder and upper arm level | ||||
| S45.30 Unspecified injury of superficial vein at shoulder and upper arm level | ||||
| S45.301 Unspecified injury of superficial vein at shoulder and upper arm level, right arm | ||||
| S45.301A | Unspecified injury of superficial vein at shoulder and upper arm level, right arm, initial encounterCMS: Unsp injury of superfic vn at shldr/up arm, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.301D | Unspecified injury of superficial vein at shoulder and upper arm level, right arm, subsequent encounterCMS: Unsp injury of superfic vn at shldr/up arm, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.301S | Unspecified injury of superficial vein at shoulder and upper arm level, right arm, sequelaCMS: Unsp inj superfic vn at shldr/up arm, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.302 Unspecified injury of superficial vein at shoulder and upper arm level, left arm | ||||
| S45.302A | Unspecified injury of superficial vein at shoulder and upper arm level, left arm, initial encounterCMS: Unsp injury of superfic vn at shldr/up arm, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.302D | Unspecified injury of superficial vein at shoulder and upper arm level, left arm, subsequent encounterCMS: Unsp injury of superfic vn at shldr/up arm, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.302S | Unspecified injury of superficial vein at shoulder and upper arm level, left arm, sequelaCMS: Unsp inj superfic vn at shldr/up arm, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.309 Unspecified injury of superficial vein at shoulder and upper arm level, unspecified arm | ||||
| S45.309A | Unspecified injury of superficial vein at shoulder and upper arm level, unspecified arm, initial encounterCMS: Unsp injury of superfic vn at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.309D | Unspecified injury of superficial vein at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Unsp injury of superfic vn at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.309S | Unspecified injury of superficial vein at shoulder and upper arm level, unspecified arm, sequelaCMS: Unsp inj superfic vn at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.31 Laceration of superficial vein at shoulder and upper arm level | ||||
| S45.311 Laceration of superficial vein at shoulder and upper arm level, right arm | ||||
| S45.311A | Laceration of superficial vein at shoulder and upper arm level, right arm, initial encounterCMS: Laceration of superfic vn at shldr/up arm, right arm, init | Can lead a claim | C | None |
| S45.311D | Laceration of superficial vein at shoulder and upper arm level, right arm, subsequent encounterCMS: Laceration of superfic vn at shldr/up arm, right arm, subs | Can lead a claim | C | None |
| S45.311S | Laceration of superficial vein at shoulder and upper arm level, right arm, sequelaCMS: Lacerat superfic vn at shldr/up arm, right arm, sequela | Can lead a claim | C | None |
| S45.312 Laceration of superficial vein at shoulder and upper arm level, left arm | ||||
| S45.312A | Laceration of superficial vein at shoulder and upper arm level, left arm, initial encounterCMS: Laceration of superfic vn at shldr/up arm, left arm, init | Can lead a claim | C | None |
| S45.312D | Laceration of superficial vein at shoulder and upper arm level, left arm, subsequent encounterCMS: Laceration of superfic vn at shldr/up arm, left arm, subs | Can lead a claim | C | None |
| S45.312S | Laceration of superficial vein at shoulder and upper arm level, left arm, sequelaCMS: Laceration of superfic vn at shldr/up arm, left arm, sequela | Can lead a claim | C | None |
| S45.319 Laceration of superficial vein at shoulder and upper arm level, unspecified arm | ||||
| S45.319A | Laceration of superficial vein at shoulder and upper arm level, unspecified arm, initial encounterCMS: Laceration of superfic vn at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.319D | Laceration of superficial vein at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Laceration of superfic vn at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.319S | Laceration of superficial vein at shoulder and upper arm level, unspecified arm, sequelaCMS: Laceration of superfic vn at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.39 Other specified injury of superficial vein at shoulder and upper arm level | ||||
| S45.391 Other specified injury of superficial vein at shoulder and upper arm level, right arm | ||||
| S45.391A | Other specified injury of superficial vein at shoulder and upper arm level, right arm, initial encounterCMS: Inj superficial vein at shldr/up arm, right arm, init | Can lead a claim | A | None |
| S45.391D | Other specified injury of superficial vein at shoulder and upper arm level, right arm, subsequent encounterCMS: Inj superficial vein at shldr/up arm, right arm, subs | Can lead a claim | A | None |
| S45.391S | Other specified injury of superficial vein at shoulder and upper arm level, right arm, sequelaCMS: Inj superficial vein at shldr/up arm, right arm, sequela | Can lead a claim | A | None |
| S45.392 Other specified injury of superficial vein at shoulder and upper arm level, left arm | ||||
| S45.392A | Other specified injury of superficial vein at shoulder and upper arm level, left arm, initial encounterCMS: Inj superficial vein at shldr/up arm, left arm, init | Can lead a claim | A | None |
| S45.392D | Other specified injury of superficial vein at shoulder and upper arm level, left arm, subsequent encounterCMS: Inj superficial vein at shldr/up arm, left arm, subs | Can lead a claim | A | None |
| S45.392S | Other specified injury of superficial vein at shoulder and upper arm level, left arm, sequelaCMS: Inj superficial vein at shldr/up arm, left arm, sequela | Can lead a claim | A | None |
| S45.399 Other specified injury of superficial vein at shoulder and upper arm level, unspecified arm | ||||
| S45.399A | Other specified injury of superficial vein at shoulder and upper arm level, unspecified arm, initial encounterCMS: Inj superficial vein at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.399D | Other specified injury of superficial vein at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Inj superficial vein at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.399S | Other specified injury of superficial vein at shoulder and upper arm level, unspecified arm, sequelaCMS: Inj superficial vein at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.8 Injury of other specified blood vessels at shoulder and upper arm level | ||||
| S45.80 Unspecified injury of other specified blood vessels at shoulder and upper arm level | ||||
| S45.801 Unspecified injury of other specified blood vessels at shoulder and upper arm level, right arm | ||||
| S45.801A | Unspecified injury of other specified blood vessels at shoulder and upper arm level, right arm, initial encounterCMS: Unsp inj blood vessels at shldr/up arm, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.801D | Unspecified injury of other specified blood vessels at shoulder and upper arm level, right arm, subsequent encounterCMS: Unsp inj blood vessels at shldr/up arm, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.801S | Unspecified injury of other specified blood vessels at shoulder and upper arm level, right arm, sequelaCMS: Unsp inj blood vessels at shldr/up arm, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.802 Unspecified injury of other specified blood vessels at shoulder and upper arm level, left arm | ||||
| S45.802A | Unspecified injury of other specified blood vessels at shoulder and upper arm level, left arm, initial encounterCMS: Unsp injury of blood vessels at shldr/up arm, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.802D | Unspecified injury of other specified blood vessels at shoulder and upper arm level, left arm, subsequent encounterCMS: Unsp injury of blood vessels at shldr/up arm, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.802S | Unspecified injury of other specified blood vessels at shoulder and upper arm level, left arm, sequelaCMS: Unsp inj blood vessels at shldr/up arm, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.809 Unspecified injury of other specified blood vessels at shoulder and upper arm level, unspecified arm | ||||
| S45.809A | Unspecified injury of other specified blood vessels at shoulder and upper arm level, unspecified arm, initial encounterCMS: Unsp injury of blood vessels at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.809D | Unspecified injury of other specified blood vessels at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Unsp injury of blood vessels at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.809S | Unspecified injury of other specified blood vessels at shoulder and upper arm level, unspecified arm, sequelaCMS: Unsp inj blood vessels at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.81 Laceration of other specified blood vessels at shoulder and upper arm level | ||||
| S45.811 Laceration of other specified blood vessels at shoulder and upper arm level, right arm | ||||
| S45.811A | Laceration of other specified blood vessels at shoulder and upper arm level, right arm, initial encounterCMS: Laceration of blood vessels at shldr/up arm, right arm, init | Can lead a claim | C | None |
| S45.811D | Laceration of other specified blood vessels at shoulder and upper arm level, right arm, subsequent encounterCMS: Laceration of blood vessels at shldr/up arm, right arm, subs | Can lead a claim | C | None |
| S45.811S | Laceration of other specified blood vessels at shoulder and upper arm level, right arm, sequelaCMS: Lacerat blood vessels at shldr/up arm, right arm, sequela | Can lead a claim | C | None |
| S45.812 Laceration of other specified blood vessels at shoulder and upper arm level, left arm | ||||
| S45.812A | Laceration of other specified blood vessels at shoulder and upper arm level, left arm, initial encounterCMS: Laceration of blood vessels at shldr/up arm, left arm, init | Can lead a claim | C | None |
| S45.812D | Laceration of other specified blood vessels at shoulder and upper arm level, left arm, subsequent encounterCMS: Laceration of blood vessels at shldr/up arm, left arm, subs | Can lead a claim | C | None |
| S45.812S | Laceration of other specified blood vessels at shoulder and upper arm level, left arm, sequelaCMS: Lacerat blood vessels at shldr/up arm, left arm, sequela | Can lead a claim | C | None |
| S45.819 Laceration of other specified blood vessels at shoulder and upper arm level, unspecified arm | ||||
| S45.819A | Laceration of other specified blood vessels at shoulder and upper arm level, unspecified arm, initial encounterCMS: Laceration of blood vessels at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.819D | Laceration of other specified blood vessels at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Laceration of blood vessels at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.819S | Laceration of other specified blood vessels at shoulder and upper arm level, unspecified arm, sequelaCMS: Lacerat blood vessels at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.89 Other specified injury of other specified blood vessels at shoulder and upper arm level | ||||
| S45.891 Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm | ||||
| S45.891A | Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm, initial encounterCMS: Inj oth blood vessels at shldr/up arm, right arm, init | Can lead a claim | A | None |
| S45.891D | Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm, subsequent encounterCMS: Inj oth blood vessels at shldr/up arm, right arm, subs | Can lead a claim | A | None |
| S45.891S | Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm, sequelaCMS: Inj oth blood vessels at shldr/up arm, right arm, sequela | Can lead a claim | A | None |
| S45.892 Other specified injury of other specified blood vessels at shoulder and upper arm level, left arm | ||||
| S45.892A | Other specified injury of other specified blood vessels at shoulder and upper arm level, left arm, initial encounterCMS: Inj oth blood vessels at shldr/up arm, left arm, init | Can lead a claim | A | None |
| S45.892D | Other specified injury of other specified blood vessels at shoulder and upper arm level, left arm, subsequent encounterCMS: Inj oth blood vessels at shldr/up arm, left arm, subs | Can lead a claim | A | None |
| S45.892S | Other specified injury of other specified blood vessels at shoulder and upper arm level, left arm, sequelaCMS: Inj oth blood vessels at shldr/up arm, left arm, sequela | Can lead a claim | A | None |
| S45.899 Other specified injury of other specified blood vessels at shoulder and upper arm level, unspecified arm | ||||
| S45.899A | Other specified injury of other specified blood vessels at shoulder and upper arm level, unspecified arm, initial encounterCMS: Inj oth blood vessels at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.899D | Other specified injury of other specified blood vessels at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Inj oth blood vessels at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.899S | Other specified injury of other specified blood vessels at shoulder and upper arm level, unspecified arm, sequelaCMS: Inj oth blood vessels at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.9 Injury of unspecified blood vessel at shoulder and upper arm level | ||||
| S45.90 Unspecified injury of unspecified blood vessel at shoulder and upper arm level | ||||
| S45.901 Unspecified injury of unspecified blood vessel at shoulder and upper arm level, right arm | ||||
| S45.901A | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounterCMS: Unsp inj unsp blood vess at shldr/up arm, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.901D | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, right arm, subsequent encounterCMS: Unsp inj unsp blood vess at shldr/up arm, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.901S | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, right arm, sequelaCMS: Unsp inj unsp blood vess at shldr/up arm, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.902 Unspecified injury of unspecified blood vessel at shoulder and upper arm level, left arm | ||||
| S45.902A | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, left arm, initial encounterCMS: Unsp inj unsp blood vess at shldr/up arm, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.902D | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, left arm, subsequent encounterCMS: Unsp inj unsp blood vess at shldr/up arm, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.902S | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, left arm, sequelaCMS: Unsp inj unsp blood vess at shldr/up arm, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.909 Unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm | ||||
| S45.909A | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, initial encounterCMS: Unsp inj unsp blood vess at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.909D | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Unsp inj unsp blood vess at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.909S | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, sequelaCMS: Unsp inj unsp blood vess at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.91 Laceration of unspecified blood vessel at shoulder and upper arm level | ||||
| S45.911 Laceration of unspecified blood vessel at shoulder and upper arm level, right arm | ||||
| S45.911A | Laceration of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounterCMS: Lacerat unsp blood vessel at shldr/up arm, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.911D | Laceration of unspecified blood vessel at shoulder and upper arm level, right arm, subsequent encounterCMS: Lacerat unsp blood vessel at shldr/up arm, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.911S | Laceration of unspecified blood vessel at shoulder and upper arm level, right arm, sequelaCMS: Lacerat unsp blood vess at shldr/up arm, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.912 Laceration of unspecified blood vessel at shoulder and upper arm level, left arm | ||||
| S45.912A | Laceration of unspecified blood vessel at shoulder and upper arm level, left arm, initial encounterCMS: Lacerat unsp blood vessel at shldr/up arm, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.912D | Laceration of unspecified blood vessel at shoulder and upper arm level, left arm, subsequent encounterCMS: Lacerat unsp blood vessel at shldr/up arm, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.912S | Laceration of unspecified blood vessel at shoulder and upper arm level, left arm, sequelaCMS: Lacerat unsp blood vessel at shldr/up arm, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.919 Laceration of unspecified blood vessel at shoulder and upper arm level, unspecified arm | ||||
| S45.919A | Laceration of unspecified blood vessel at shoulder and upper arm level, unspecified arm, initial encounterCMS: Lacerat unsp blood vessel at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.919D | Laceration of unspecified blood vessel at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Lacerat unsp blood vessel at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.919S | Laceration of unspecified blood vessel at shoulder and upper arm level, unspecified arm, sequelaCMS: Lacerat unsp blood vessel at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.99 Other specified injury of unspecified blood vessel at shoulder and upper arm level | ||||
| S45.991 Other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm | ||||
| S45.991A | Other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounterCMS: Inj unsp blood vessel at shldr/up arm, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.991D | Other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, subsequent encounterCMS: Inj unsp blood vessel at shldr/up arm, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.991S | Other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, sequelaCMS: Inj unsp blood vessel at shldr/up arm, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.992 Other specified injury of unspecified blood vessel at shoulder and upper arm level, left arm | ||||
| S45.992A | Other specified injury of unspecified blood vessel at shoulder and upper arm level, left arm, initial encounterCMS: Inj unsp blood vessel at shldr/up arm, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.992D | Other specified injury of unspecified blood vessel at shoulder and upper arm level, left arm, subsequent encounterCMS: Inj unsp blood vessel at shldr/up arm, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.992S | Other specified injury of unspecified blood vessel at shoulder and upper arm level, left arm, sequelaCMS: Inj unsp blood vessel at shldr/up arm, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.999 Other specified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm | ||||
| S45.999A | Other specified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, initial encounterCMS: Inj unsp blood vessel at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S45.999D | Other specified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Inj unsp blood vessel at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S45.999S | Other specified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, sequelaCMS: Inj unsp blood vessel at shldr/up arm, unsp 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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