Kodex

Section

S41.001

Unspecified open wound of right shoulder

Hierarchy

S00-T88 Injury, poisoning and certain other consequences of external causes (S00-T88)
- S40-S49 Injuries to the shoulder and upper arm (S40-S49)
  - S41 Open wound of shoulder and upper arm
    - S41.0 Open wound of shoulder
      - S41.00 Unspecified open wound of shoulder
        
        S41.001 Unspecified open wound of right shoulder
        
        S41.001A initial encounter
        
        S41.001D subsequent encounter
        
        S41.001S sequela

Notes

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Code Also

any associated wound infection

Use Additional

code to identify any retained foreign body, if applicable (Z18.-)
- Z18 Retained foreign body fragments

Includes

injuries of axilla
injuries of scapular region

Excludes 1

S48 Traumatic amputation of shoulder and upper arm

P10-P15 Birth trauma (P10-P15)
obstetric trauma (O70-O71)

Excludes 2

open fracture of shoulder and upper arm (S42.- with 7th character B or C)

T20-T32 Burns and corrosions (T20-T32)
T33-T34 Frostbite (T33-T34)
injuries of elbow (S50-S59)
- S50-S59 Injuries to the elbow and forearm (S50-S59)
insect bite or sting, venomous (T63.4)
- T63.4 Toxic effect of venom of other arthropods