S49.91XD — Unspecified injury of right shoulder and upper arm, subsequent encounter
Is S49.91XD billable?
Yes, but S49.91XD is an unspecified code. S49.91XD is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S49.91XD 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 S49.91XD.
S49.91XD at a glance
| Code | S49.91XD |
|---|---|
| Description | Unspecified injury of right shoulder and upper arm, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in S49.91XD?
In S49.91XD, the 7th character D means subsequent encounter. The 7th character is required for S49.91XD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S49.91XD group to?
S49.91XD sits in MDC 23 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.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is S49.91XD listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S49.9, the nearest indexed parent of S49.91XD. Use them to find the family, then select the specific code.
- Injury › arm
- Injury › shoulder
Use additional code — inherited from Chapter 19
Report an additional code alongside S49.91XD to fully describe the condition. S49.91XD 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 S49.91XD, but a patient may have both at the same time. When documentation supports it, S49.91XD and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S49.91XD, but a patient may have both at the same time. When documentation supports it, S49.91XD and the excluded code may both be reported.
How long has S49.91XD existed?
S49.91XD 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.