S48UpcomingCategory · further specificity required

Traumatic amputation of shoulder and upper arm

Code-level instructions

A — initial encounter

D — subsequent encounter

S — sequela

Code-level instructions

Excludes 1

traumatic amputation at elbow level (S58.0)

Chapters 19 · Inherited instructions

Use additional code

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

Excludes 2 · 6

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

S40-S49 · Injuries to the shoulder and upper arm (S40-S49)

Excludes 2

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of elbow (S50-S59)
insect bite or sting, venomous (T63.4)

More specific codes

S48.0Traumatic amputation at shoulder joint S48.1Traumatic amputation at level between shoulder and elbow S48.9Traumatic amputation of shoulder and upper arm, level unspecified

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2025 · 04-01

ChangedUnchanged

FY2025 · 04-01

Effective from 2025-04-01

Inherited rules changed

Traumatic amputation of shoulder and upper arm

Category — select a more specific code

CDC/NCHS · FY2025 · 04-01

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	Inherited rules changed
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Inclusion terms

An amputation not identified as partial or complete should be coded to complete

Excludes 1

traumatic amputation at elbow level (S58.0)

Seventh character

The appropriate 7th character is to be added to each code from category S48

A — initial encounter

D — subsequent encounter

S — sequela

Inherited instructions

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

Use additional code

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

Note

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.

S40-S49 · Injuries to the shoulder and upper arm (S40-S49)

Includes

injuries of axilla
injuries of scapular region

Excludes 2

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of elbow (S50-S59)
insect bite or sting, venomous (T63.4)

More specific codes

S48.0Traumatic amputation at shoulder jointCategory · further specificity required S48.1Traumatic amputation at level between shoulder and elbowCategory · further specificity required S48.9Traumatic amputation of shoulder and upper arm, level unspecifiedCategory · further specificity required

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (2)

S41 · Open wound of shoulder and upper arm

Excludes 1 · traumatic amputation of shoulder and upper arm (S48.-)

S42 · Fracture of shoulder and upper arm

Excludes 1 · traumatic amputation of shoulder and upper arm (S48.-)

S48UpcomingCategory · further specificity required

Traumatic amputation of shoulder and upper arm

Code-level instructions

A — initial encounter

D — subsequent encounter

S — sequela

Code-level instructions

Excludes 1

traumatic amputation at elbow level (S58.0)

Chapters 19 · Inherited instructions

Use additional code

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

Excludes 2 · 6

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

S40-S49 · Injuries to the shoulder and upper arm (S40-S49)

Excludes 2

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of elbow (S50-S59)
insect bite or sting, venomous (T63.4)

More specific codes

S48.0Traumatic amputation at shoulder joint S48.1Traumatic amputation at level between shoulder and elbow S48.9Traumatic amputation of shoulder and upper arm, level unspecified

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2025 · 04-01

ChangedUnchanged

FY2025 · 04-01

Effective from 2025-04-01

Inherited rules changed

Traumatic amputation of shoulder and upper arm

Category — select a more specific code

CDC/NCHS · FY2025 · 04-01

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	Inherited rules changed
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Inclusion terms

An amputation not identified as partial or complete should be coded to complete

Excludes 1

traumatic amputation at elbow level (S58.0)

Seventh character

The appropriate 7th character is to be added to each code from category S48

A — initial encounter

D — subsequent encounter

S — sequela

Inherited instructions

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

Use additional code

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

Note

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.

S40-S49 · Injuries to the shoulder and upper arm (S40-S49)

Includes

injuries of axilla
injuries of scapular region

Excludes 2

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of elbow (S50-S59)
insect bite or sting, venomous (T63.4)

More specific codes

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (2)

S41 · Open wound of shoulder and upper arm

Excludes 1 · traumatic amputation of shoulder and upper arm (S48.-)

S42 · Fracture of shoulder and upper arm

Excludes 1 · traumatic amputation of shoulder and upper arm (S48.-)