S45.891A — Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm, initial encounter
Is S45.891A billable?
Yes, but S45.891A is an unspecified code. S45.891A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S45.891A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S45.891A — the more specific alternatives are listed below.
More specific alternatives
- S45.001AUnspecified injury of axillary artery, right side, initial encounter
- S45.101AUnspecified injury of brachial artery, right side, initial encounter
- S45.201AUnspecified injury of axillary or brachial vein, right side, initial encounter
- S45.301AUnspecified injury of superficial vein at shoulder and upper arm level, right arm, initial encounter
S45.891A at a glance
| Code | S45.891A |
|---|---|
| Description | Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S45.891A?
In S45.891A, the 7th character A means initial encounter. The 7th character is required for S45.891A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S45.891A group to?
S45.891A sits in MDC 21 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.
- 913Traumatic Injury with MCCmedical
- 914Traumatic Injury without MCCmedical
As a secondary diagnosis, S45.891A is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is S45.891A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S45.89, the nearest indexed parent of S45.891A. Use them to find the family, then select the specific code.
- Injury › blood vessel NEC › armNEC › specified › site NEC › specified type NEC
Use additional code — inherited from Chapter 19
Report an additional code alongside S45.891A to fully describe the condition. S45.891A 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 S45.891A, but a patient may have both at the same time. When documentation supports it, S45.891A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S45.891A, but a patient may have both at the same time. When documentation supports it, S45.891A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S45
The conditions below are not part of S45.891A, but a patient may have both at the same time. When documentation supports it, S45.891A and the excluded code may both be reported.
Code also — inherited from S45
Two codes may be needed to describe the condition fully. Whether S45.891A is sequenced first depends on the reason for the encounter.
- any associated open wound (S41.-)
How long has S45.891A existed?
S45.891A 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.