Coding and coverage · ICD-10-CM

S40 › S40.2 › S40.24

S40.242 External constriction of left shoulder

Not billable (header)Chapter 19

This code needs a 7th character (use X as a placeholder for missing characters).

7th character codes

  • S40.242A External constriction of left shoulder, initial encounter
  • S40.242D External constriction of left shoulder, subsequent encounter
  • S40.242S External constriction of left shoulder, sequela

Instructional notes

Chapter 19

Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
  • code to identify any retained foreign body, if applicable (Z18.-)
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.

Section S40-S49

Excludes2Not included here: the patient may have both; report both when both are present.
Includes
  • injuries of axilla
  • injuries of scapular region

S40

7th charactersThe appropriate 7th character is to be added to each code from category S40
  • A initial encounter
  • D subsequent encounter
  • S sequela

Chapter 19: Injury, poisoning and certain other consequences of external causes · S40-S49 Injuries to the shoulder and upper arm (S40-S49)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.