S41.149D Puncture wound with foreign body of unspecified upper arm, subsequent encounter

Billable ICD-10-CM code, FY2026.

Built from S41.149 with 7th character D (subsequent 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 S41.149D

Back-references to S41.14

• Type 1 Excludes: S40.87 Other superficial bite of upper arm ("open bite of upper arm (S41.14)")

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 S41.149D

• Puncture › arm (upper) › with foreign body

Nearby codes

• S41.142A Puncture wound with foreign body of left upper arm, initial encounter
• S41.142D Puncture wound with foreign body of left upper arm, subsequent encounter
• S41.142S Puncture wound with foreign body of left upper arm, sequela
• S41.149 Puncture wound with foreign body of unspecified upper arm
• S41.149A Puncture wound with foreign body of unspecified upper arm, initial encounter
• S41.149D Puncture wound with foreign body of unspecified upper arm, subsequent encounter (this code)
• S41.149S Puncture wound with foreign body of unspecified upper arm, sequela
• S41.15 Open bite of upper arm
• S41.151 Open bite of right upper arm
• S41.151A Open bite of right upper arm, initial encounter
• S41.151D Open bite of right upper arm, subsequent encounter