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

S48 Traumatic amputation of shoulder and upper arm

All 54 codes in the S48 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

54

Can lead a claim

24

Cannot lead a claim

30

What CMS assigns to S48

24 of the 54 codes group to Wound; 30 are assigned no clinical group. None of the 54 is assigned a comorbidity subgroup. 24 of the 54 can lead a claim.

Every code in S48

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
S48.0 Traumatic amputation at shoulder joint
S48.01 Complete traumatic amputation at shoulder joint
S48.011 Complete traumatic amputation at right shoulder joint
S48.011AComplete traumatic amputation at right shoulder joint, initial encounterCMS: Complete traumatic amputation at right shoulder joint, initCan lead a claimCNone
S48.011DComplete traumatic amputation at right shoulder joint, subsequent encounterCMS: Complete traumatic amputation at right shoulder joint, subsCan lead a claimCNone
S48.011SComplete traumatic amputation at right shoulder joint, sequelaCMS: Complete traumatic amputation at r shoulder jt, sequelaCan lead a claimCNone
S48.012 Complete traumatic amputation at left shoulder joint
S48.012AComplete traumatic amputation at left shoulder joint, initial encounterCMS: Complete traumatic amputation at left shoulder joint, initCan lead a claimCNone
S48.012DComplete traumatic amputation at left shoulder joint, subsequent encounterCMS: Complete traumatic amputation at left shoulder joint, subsCan lead a claimCNone
S48.012SComplete traumatic amputation at left shoulder joint, sequelaCMS: Complete traumatic amputation at l shoulder jt, sequelaCan lead a claimCNone
S48.019 Complete traumatic amputation at unspecified shoulder joint
S48.019AComplete traumatic amputation at unspecified shoulder joint, initial encounterCMS: Complete traumatic amputation at unsp shoulder joint, initCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S48.019DComplete traumatic amputation at unspecified shoulder joint, subsequent encounterCMS: Complete traumatic amputation at unsp shoulder joint, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.019SComplete traumatic amputation at unspecified shoulder joint, sequelaCMS: Complete traumatic amputation at unsp shoulder jt, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.02 Partial traumatic amputation at shoulder joint
S48.021 Partial traumatic amputation at right shoulder joint
S48.021APartial traumatic amputation at right shoulder joint, initial encounterCMS: Partial traumatic amputation at right shoulder joint, initCan lead a claimCNone
S48.021DPartial traumatic amputation at right shoulder joint, subsequent encounterCMS: Partial traumatic amputation at right shoulder joint, subsCan lead a claimCNone
S48.021SPartial traumatic amputation at right shoulder joint, sequelaCMS: Partial traumatic amputation at r shoulder jt, sequelaCan lead a claimCNone
S48.022 Partial traumatic amputation at left shoulder joint
S48.022APartial traumatic amputation at left shoulder joint, initial encounterCMS: Partial traumatic amputation at left shoulder joint, initCan lead a claimCNone
S48.022DPartial traumatic amputation at left shoulder joint, subsequent encounterCMS: Partial traumatic amputation at left shoulder joint, subsCan lead a claimCNone
S48.022SPartial traumatic amputation at left shoulder joint, sequelaCan lead a claimCNone
S48.029 Partial traumatic amputation at unspecified shoulder joint
S48.029APartial traumatic amputation at unspecified shoulder joint, initial encounterCMS: Partial traumatic amputation at unsp shoulder joint, initCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S48.029DPartial traumatic amputation at unspecified shoulder joint, subsequent encounterCMS: Partial traumatic amputation at unsp shoulder joint, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.029SPartial traumatic amputation at unspecified shoulder joint, sequelaCMS: Partial traumatic amputation at unsp shoulder joint, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.1 Traumatic amputation at level between shoulder and elbow
S48.11 Complete traumatic amputation at level between shoulder and elbow
S48.111 Complete traumatic amputation at level between right shoulder and elbow
S48.111AComplete traumatic amputation at level between right shoulder and elbow, initial encounterCMS: Complete traum amp at level betw r shoulder and elbow, initCan lead a claimCNone
S48.111DComplete traumatic amputation at level between right shoulder and elbow, subsequent encounterCMS: Complete traum amp at level betw r shoulder and elbow, subsCan lead a claimCNone
S48.111SComplete traumatic amputation at level between right shoulder and elbow, sequelaCMS: Complete traum amp at level betw r shldr and elbow, sequelaCan lead a claimCNone
S48.112 Complete traumatic amputation at level between left shoulder and elbow
S48.112AComplete traumatic amputation at level between left shoulder and elbow, initial encounterCMS: Complete traum amp at level betw l shoulder and elbow, initCan lead a claimCNone
S48.112DComplete traumatic amputation at level between left shoulder and elbow, subsequent encounterCMS: Complete traum amp at level betw l shoulder and elbow, subsCan lead a claimCNone
S48.112SComplete traumatic amputation at level between left shoulder and elbow, sequelaCMS: Complete traum amp at level betw l shldr and elbow, sequelaCan lead a claimCNone
S48.119 Complete traumatic amputation at level between unspecified shoulder and elbow
S48.119AComplete traumatic amputation at level between unspecified shoulder and elbow, initial encounterCMS: Complete traum amp at level betw unsp shldr and elbow, initCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S48.119DComplete traumatic amputation at level between unspecified shoulder and elbow, subsequent encounterCMS: Complete traum amp at level betw unsp shldr and elbow, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.119SComplete traumatic amputation at level between unspecified shoulder and elbow, sequelaCMS: Complete traum amp at level betw unsp shldr and elbow, sqlaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.12 Partial traumatic amputation at level between shoulder and elbow
S48.121 Partial traumatic amputation at level between right shoulder and elbow
S48.121APartial traumatic amputation at level between right shoulder and elbow, initial encounterCMS: Partial traum amp at level betw r shoulder and elbow, initCan lead a claimCNone
S48.121DPartial traumatic amputation at level between right shoulder and elbow, subsequent encounterCMS: Partial traum amp at level betw r shoulder and elbow, subsCan lead a claimCNone
S48.121SPartial traumatic amputation at level between right shoulder and elbow, sequelaCMS: Partial traum amp at level betw r shldr and elbow, sequelaCan lead a claimCNone
S48.122 Partial traumatic amputation at level between left shoulder and elbow
S48.122APartial traumatic amputation at level between left shoulder and elbow, initial encounterCMS: Partial traum amp at level betw l shoulder and elbow, initCan lead a claimCNone
S48.122DPartial traumatic amputation at level between left shoulder and elbow, subsequent encounterCMS: Partial traum amp at level betw l shoulder and elbow, subsCan lead a claimCNone
S48.122SPartial traumatic amputation at level between left shoulder and elbow, sequelaCMS: Partial traum amp at level betw l shldr and elbow, sequelaCan lead a claimCNone
S48.129 Partial traumatic amputation at level between unspecified shoulder and elbow
S48.129APartial traumatic amputation at level between unspecified shoulder and elbow, initial encounterCMS: Partial traum amp at level betw unsp shldr and elbow, initCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S48.129DPartial traumatic amputation at level between unspecified shoulder and elbow, subsequent encounterCMS: Partial traum amp at level betw unsp shldr and elbow, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.129SPartial traumatic amputation at level between unspecified shoulder and elbow, sequelaCMS: Part traum amp at level betw unsp shldr and elbow, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.9 Traumatic amputation of shoulder and upper arm, level unspecified
S48.91 Complete traumatic amputation of shoulder and upper arm, level unspecified
S48.911 Complete traumatic amputation of right shoulder and upper arm, level unspecified
S48.911AComplete traumatic amputation of right shoulder and upper arm, level unspecified, initial encounterCMS: Complete traum amp of right shldr/up arm, level unsp, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.911DComplete traumatic amputation of right shoulder and upper arm, level unspecified, subsequent encounterCMS: Complete traum amp of right shldr/up arm, level unsp, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.911SComplete traumatic amputation of right shoulder and upper arm, level unspecified, sequelaCMS: Complete traum amp of right shldr/up arm, level unsp, sqlaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.912 Complete traumatic amputation of left shoulder and upper arm, level unspecified
S48.912AComplete traumatic amputation of left shoulder and upper arm, level unspecified, initial encounterCMS: Complete traum amp of left shldr/up arm, level unsp, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.912DComplete traumatic amputation of left shoulder and upper arm, level unspecified, subsequent encounterCMS: Complete traum amp of left shldr/up arm, level unsp, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.912SComplete traumatic amputation of left shoulder and upper arm, level unspecified, sequelaCMS: Complete traum amp of left shldr/up arm, level unsp, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.919 Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified
S48.919AComplete traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounterCMS: Complete traum amp of unsp shldr/up arm, level unsp, initCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S48.919DComplete traumatic amputation of unspecified shoulder and upper arm, level unspecified, subsequent encounterCMS: Complete traum amp of unsp shldr/up arm, level unsp, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.919SComplete traumatic amputation of unspecified shoulder and upper arm, level unspecified, sequelaCMS: Complete traum amp of unsp shldr/up arm, level unsp, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.92 Partial traumatic amputation of shoulder and upper arm, level unspecified
S48.921 Partial traumatic amputation of right shoulder and upper arm, level unspecified
S48.921APartial traumatic amputation of right shoulder and upper arm, level unspecified, initial encounterCMS: Partial traum amp of right shldr/up arm, level unsp, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.921DPartial traumatic amputation of right shoulder and upper arm, level unspecified, subsequent encounterCMS: Partial traum amp of right shldr/up arm, level unsp, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.921SPartial traumatic amputation of right shoulder and upper arm, level unspecified, sequelaCMS: Partial traum amp of right shldr/up arm, level unsp, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.922 Partial traumatic amputation of left shoulder and upper arm, level unspecified
S48.922APartial traumatic amputation of left shoulder and upper arm, level unspecified, initial encounterCMS: Partial traumatic amp of left shldr/up arm, level unsp, initCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.922DPartial traumatic amputation of left shoulder and upper arm, level unspecified, subsequent encounterCMS: Partial traumatic amp of left shldr/up arm, level unsp, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.922SPartial traumatic amputation of left shoulder and upper arm, level unspecified, sequelaCMS: Partial traum amp of left shldr/up arm, level unsp, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.929 Partial traumatic amputation of unspecified shoulder and upper arm, level unspecified
S48.929APartial traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounterCMS: Partial traumatic amp of unsp shldr/up arm, level unsp, initCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S48.929DPartial traumatic amputation of unspecified shoulder and upper arm, level unspecified, subsequent encounterCMS: Partial traumatic amp of unsp shldr/up arm, level unsp, subsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S48.929SPartial traumatic amputation of unspecified shoulder and upper arm, level unspecified, sequelaCMS: Partial traum amp of unsp shldr/up arm, level unsp, 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