S48.019A Complete traumatic amputation at unspecified shoulder joint, initial encounter

Billable ICD-10-CM code, FY2026.

Built from S48.019 with 7th character A (initial encounter).

Applies from S48 Traumatic amputation of shoulder and upper arm

Applicable to

• An amputation not identified as partial or complete should be coded to complete

Excludes1 (never code together)

• traumatic amputation at elbow level (S58.0)

7th character note

• The appropriate 7th character is to be added to each code from category S48

7th character required

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

Risk adjustment (HCC)

• CMS-HCC V28: HCC 405 — Traumatic Amputations and Complications
• CMS-HCC V22: HCC 173 — Traumatic Amputations and Complications
• ESRD V24: HCC 173

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to S48.019A

Back-references to S48

• Type 1 Excludes: S41 Open wound of shoulder and upper arm ("traumatic amputation of shoulder and upper arm (S48.-)")
• Type 1 Excludes: S42 Fracture of shoulder and upper arm ("traumatic amputation of shoulder and upper arm (S48.-)")

Nearby codes

• S48.012 Complete traumatic amputation at left shoulder joint
• S48.012A Complete traumatic amputation at left shoulder joint, initial encounter
• S48.012D Complete traumatic amputation at left shoulder joint, subsequent encounter
• S48.012S Complete traumatic amputation at left shoulder joint, sequela
• S48.019 Complete traumatic amputation at unspecified shoulder joint
• S48.019A Complete traumatic amputation at unspecified shoulder joint, initial encounter (this code)
• S48.019D Complete traumatic amputation at unspecified shoulder joint, subsequent encounter
• S48.019S Complete traumatic amputation at unspecified shoulder joint, sequela
• S48.02 Partial traumatic amputation at shoulder joint
• S48.021 Partial traumatic amputation at right shoulder joint
• S48.021A Partial traumatic amputation at right shoulder joint, initial encounter