2017/18 ICD-10-CM Diagnosis Code S45

Injury of blood vessels at shoulder and upper arm level

Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • any associated open wound (
    ICD-10-CM Diagnosis Code S41
    • S41 Open wound of shoulder and upper arm
      • S41.0 Open wound of shoulder
        • S41.00 Unspecified open wound of shoulder
          • S41.001 Unspecified open wound of right shoulder
            • S41.001A Unspecified open wound of right shoulder, ini...
            • S41.001D Unspecified open wound of right shoulder, sub...
            • S41.001S Unspecified open wound of right shoulder, seq...
          • S41.002 Unspecified open wound of left shoulder
            • S41.002A Unspecified open wound of left shoulder, init...
            • S41.002D Unspecified open wound of left shoulder, subs...
            • S41.002S Unspecified open wound of left shoulder, sequ...
          • S41.009 Unspecified open wound of unspecified shoulde...
            • S41.009A Unspecified open wound of unspecified shoulde...
            • S41.009D Unspecified open wound of unspecified shoulde...
            • S41.009S Unspecified open wound of unspecified shoulde...
        • S41.01 Laceration without foreign body of shoulder
          • S41.011 Laceration without foreign body of right shou...
            • S41.011A Laceration without foreign body of right shou...
            • S41.011D Laceration without foreign body of right shou...
            • S41.011S Laceration without foreign body of right shou...
          • S41.012 Laceration without foreign body of left shoul...
            • S41.012A Laceration without foreign body of left shoul...
            • S41.012D Laceration without foreign body of left shoul...
            • S41.012S Laceration without foreign body of left shoul...
          • S41.019 Laceration without foreign body of unspecifie...
            • S41.019A Laceration without foreign body of unspecifie...
            • S41.019D Laceration without foreign body of unspecifie...
            • S41.019S Laceration without foreign body of unspecifie...
        • S41.02 Laceration with foreign body of shoulder
          • S41.021 Laceration with foreign body of right shoulde...
            • S41.021A Laceration with foreign body of right shoulde...
            • S41.021D Laceration with foreign body of right shoulde...
            • S41.021S Laceration with foreign body of right shoulde...
          • S41.022 Laceration with foreign body of left shoulder...
            • S41.022A Laceration with foreign body of left shoulder...
            • S41.022D Laceration with foreign body of left shoulder...
            • S41.022S Laceration with foreign body of left shoulder...
          • S41.029 Laceration with foreign body of unspecified s...
            • S41.029A Laceration with foreign body of unspecified s...
            • S41.029D Laceration with foreign body of unspecified s...
            • S41.029S Laceration with foreign body of unspecified s...
        • S41.03 Puncture wound without foreign body of should...
          • S41.031 Puncture wound without foreign body of right ...
            • S41.031A Puncture wound without foreign body of right ...
            • S41.031D Puncture wound without foreign body of right ...
            • S41.031S Puncture wound without foreign body of right ...
          • S41.032 Puncture wound without foreign body of left s...
            • S41.032A Puncture wound without foreign body of left s...
            • S41.032D Puncture wound without foreign body of left s...
            • S41.032S Puncture wound without foreign body of left s...
          • S41.039 Puncture wound without foreign body of unspec...
            • S41.039A Puncture wound without foreign body of unspec...
            • S41.039D Puncture wound without foreign body of unspec...
            • S41.039S Puncture wound without foreign body of unspec...
        • S41.04 Puncture wound with foreign body of shoulder
          • S41.041 Puncture wound with foreign body of right sho...
            • S41.041A Puncture wound with foreign body of right sho...
            • S41.041D Puncture wound with foreign body of right sho...
            • S41.041S Puncture wound with foreign body of right sho...
          • S41.042 Puncture wound with foreign body of left shou...
            • S41.042A Puncture wound with foreign body of left shou...
            • S41.042D Puncture wound with foreign body of left shou...
            • S41.042S Puncture wound with foreign body of left shou...
          • S41.049 Puncture wound with foreign body of unspecifi...
            • S41.049A Puncture wound with foreign body of unspecifi...
            • S41.049D Puncture wound with foreign body of unspecifi...
            • S41.049S Puncture wound with foreign body of unspecifi...
        • S41.05 Open bite of shoulder
          • S41.051 Open bite of right shoulder
            • S41.051A Open bite of right shoulder, initial encounte...
            • S41.051D Open bite of right shoulder, subsequent encou...
            • S41.051S …… sequela
          • S41.052 Open bite of left shoulder
            • S41.052A Open bite of left shoulder, initial encounter...
            • S41.052D Open bite of left shoulder, subsequent encoun...
            • S41.052S …… sequela
          • S41.059 Open bite of unspecified shoulder
            • S41.059A Open bite of unspecified shoulder, initial en...
            • S41.059D Open bite of unspecified shoulder, subsequent...
            • S41.059S …… sequela
      • S41.1 Open wound of upper arm
        • S41.10 Unspecified open wound of upper arm
          • S41.101 Unspecified open wound of right upper arm
            • S41.101A Unspecified open wound of right upper arm, in...
            • S41.101D Unspecified open wound of right upper arm, su...
            • S41.101S Unspecified open wound of right upper arm, se...
          • S41.102 Unspecified open wound of left upper arm
            • S41.102A Unspecified open wound of left upper arm, ini...
            • S41.102D Unspecified open wound of left upper arm, sub...
            • S41.102S Unspecified open wound of left upper arm, seq...
          • S41.109 Unspecified open wound of unspecified upper a...
            • S41.109A Unspecified open wound of unspecified upper a...
            • S41.109D Unspecified open wound of unspecified upper a...
            • S41.109S Unspecified open wound of unspecified upper a...
        • S41.11 Laceration without foreign body of upper arm
          • S41.111 Laceration without foreign body of right uppe...
            • S41.111A Laceration without foreign body of right uppe...
            • S41.111D Laceration without foreign body of right uppe...
            • S41.111S Laceration without foreign body of right uppe...
          • S41.112 Laceration without foreign body of left upper...
            • S41.112A Laceration without foreign body of left upper...
            • S41.112D Laceration without foreign body of left upper...
            • S41.112S Laceration without foreign body of left upper...
          • S41.119 Laceration without foreign body of unspecifie...
            • S41.119A Laceration without foreign body of unspecifie...
            • S41.119D Laceration without foreign body of unspecifie...
            • S41.119S Laceration without foreign body of unspecifie...
        • S41.12 Laceration with foreign body of upper arm
          • S41.121 Laceration with foreign body of right upper a...
            • S41.121A Laceration with foreign body of right upper a...
            • S41.121D Laceration with foreign body of right upper a...
            • S41.121S Laceration with foreign body of right upper a...
          • S41.122 Laceration with foreign body of left upper ar...
            • S41.122A Laceration with foreign body of left upper ar...
            • S41.122D Laceration with foreign body of left upper ar...
            • S41.122S Laceration with foreign body of left upper ar...
          • S41.129 Laceration with foreign body of unspecified u...
            • S41.129A Laceration with foreign body of unspecified u...
            • S41.129D Laceration with foreign body of unspecified u...
            • S41.129S Laceration with foreign body of unspecified u...
        • S41.13 Puncture wound without foreign body of upper ...
          • S41.131 Puncture wound without foreign body of right ...
            • S41.131A Puncture wound without foreign body of right ...
            • S41.131D Puncture wound without foreign body of right ...
            • S41.131S Puncture wound without foreign body of right ...
          • S41.132 Puncture wound without foreign body of left u...
            • S41.132A Puncture wound without foreign body of left u...
            • S41.132D Puncture wound without foreign body of left u...
            • S41.132S Puncture wound without foreign body of left u...
          • S41.139 Puncture wound without foreign body of unspec...
            • S41.139A Puncture wound without foreign body of unspec...
            • S41.139D Puncture wound without foreign body of unspec...
            • S41.139S Puncture wound without foreign body of unspec...
        • S41.14 Puncture wound with foreign body of upper arm...
          • S41.141 Puncture wound with foreign body of right upp...
            • S41.141A Puncture wound with foreign body of right upp...
            • S41.141D Puncture wound with foreign body of right upp...
            • S41.141S Puncture wound with foreign body of right upp...
          • S41.142 Puncture wound with foreign body of left uppe...
            • S41.142A Puncture wound with foreign body of left uppe...
            • S41.142D Puncture wound with foreign body of left uppe...
            • S41.142S Puncture wound with foreign body of left uppe...
          • S41.149 Puncture wound with foreign body of unspecifi...
            • S41.149A Puncture wound with foreign body of unspecifi...
            • S41.149D Puncture wound with foreign body of unspecifi...
            • S41.149S Puncture wound with foreign body of unspecifi...
        • S41.15 Open bite of upper arm
          • S41.151 Open bite of right upper arm
            • S41.151A Open bite of right upper arm, initial encount...
            • S41.151D Open bite of right upper arm, subsequent enco...
            • S41.151S …… sequela
          • S41.152 Open bite of left upper arm
            • S41.152A Open bite of left upper arm, initial encounte...
            • S41.152D Open bite of left upper arm, subsequent encou...
            • S41.152S …… sequela
          • S41.159 Open bite of unspecified upper arm
            • S41.159A Open bite of unspecified upper arm, initial e...
            • S41.159D Open bite of unspecified upper arm, subsequen...
            • S41.159S …… sequela
    S41.-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (S45) and the excluded code together.
  • injury of subclavian artery (
    ICD-10-CM Diagnosis Code S25.1

    Injury of innominate or subclavian artery

      2016 2017 2018 Non-Billable/Non-Specific Code
    S25.1
    )
  • injury of subclavian vein (
    ICD-10-CM Diagnosis Code S25.3

    Injury of innominate or subclavian vein

      2016 2017 2018 Non-Billable/Non-Specific Code
    S25.3
    )
The following code(s) above S45 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to S45:
  • S00-T88
    2018 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S40-S49
    2018 ICD-10-CM Range S40-S49

    Injuries to the shoulder and upper arm

    Includes
    • injuries of axilla
    • injuries of scapular region
    Type 2 Excludes
    Injuries to the shoulder and upper arm
Code History
ICD-10-CM Codes Adjacent To S45
S44.90XD …… subsequent encounter
S44.90XS …… sequela
S44.91 Injury of unspecified nerve at shoulder and upper arm level, right arm
S44.91XA …… initial encounter
S44.91XD …… subsequent encounter
S44.91XS …… sequela
S44.92 Injury of unspecified nerve at shoulder and upper arm level, left arm
S44.92XA …… initial encounter
S44.92XD …… subsequent encounter
S44.92XS …… sequela
S45 Injury of blood vessels at shoulder and upper arm level
S45.0 Injury of axillary artery
S45.00 Unspecified injury of axillary artery
S45.001 Unspecified injury of axillary artery, right side
S45.001A …… initial encounter
S45.001D …… subsequent encounter
S45.001S …… sequela
S45.002 Unspecified injury of axillary artery, left side
S45.002A …… initial encounter
S45.002D …… subsequent encounter
S45.002S …… sequela

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.