S41.049A Puncture wound with foreign body of unspecified shoulder, initial encounter

Billable ICD-10-CM code, FY2026.

Built from S41.049 with 7th character A (initial encounter).

Applies from S41 Open wound of shoulder and upper arm

Excludes1 (never code together)

• traumatic amputation of shoulder and upper arm (S48.-)

Excludes2 (not included here)

• open fracture of shoulder and upper arm (S42.- with 7th character B or C)

Code also

• any associated wound infection

7th character note

• The appropriate 7th character is to be added to each code from category S41

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Code annotations containing back-references to S41.049A

Back-references to S41

• Code Also: S44 Injury of nerves at shoulder and upper arm level ("any associated open wound (S41.-)")
• Code Also: S45 Injury of blood vessels at shoulder and upper arm level ("any associated open wound (S41.-)")
• Code Also: S46 Injury of muscle, fascia and tendon at shoulder and upper arm level ("any associated open wound (S41.-)")

Diagnosis Index entries for S41.049A

• Puncture › shoulder › with foreign body

Nearby codes

• S41.042 Puncture wound with foreign body of left shoulder
• S41.042A Puncture wound with foreign body of left shoulder, initial encounter
• S41.042D Puncture wound with foreign body of left shoulder, subsequent encounter
• S41.042S Puncture wound with foreign body of left shoulder, sequela
• S41.049 Puncture wound with foreign body of unspecified shoulder
• S41.049A Puncture wound with foreign body of unspecified shoulder, initial encounter (this code)
• S41.049D Puncture wound with foreign body of unspecified shoulder, subsequent encounter
• S41.049S Puncture wound with foreign body of unspecified shoulder, sequela
• S41.05 Open bite of shoulder
• S41.051 Open bite of right shoulder
• S41.051A Open bite of right shoulder, initial encounter