ICDcodes.org
FY2027

S40.242SExternal constriction of left shoulder, sequela

Billable

Is S40.242S billable?

Yes — S40.242S is billable for FY2027. S40.242S is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S40.242S may be submitted for encounters from October 1, 2026 through September 30, 2027.

S40.242S at a glance

CodeS40.242S
DescriptionExternal constriction of left shoulder, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in S40.242S?

In S40.242S, the 7th character S means sequela. The 7th character is required for S40.242S to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S40.242S group to?

S40.242S sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 604Trauma to the Skin, Subcutaneous Tissue and Breast with MCCmedical
  • 605Trauma to the Skin, Subcutaneous Tissue and Breast without MCCmedical

How is S40.242S listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S40.24, the nearest indexed parent of S40.242S. Use them to find the family, then select the specific code.

  • Constrictionexternalshoulder

Use additional code — inherited from Chapter 19

Report an additional code alongside S40.242S to fully describe the condition. S40.242S is sequenced first.

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

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of S40.242S, but a patient may have both at the same time. When documentation supports it, S40.242S and the excluded code may both be reported.

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

Excludes2 — not included here — inherited from S40-S49

The conditions below are not part of S40.242S, but a patient may have both at the same time. When documentation supports it, S40.242S and the excluded code may both be reported.

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

How long has S40.242S existed?

S40.242S has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.