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S40.011 vs S40.019

S40.011 (Contusion of right shoulder) compared with S40.019 (Contusion of unspecified shoulder), from the official CMS tabular data. S40.011 and S40.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S40.011
Right
Contusion of right shoulder
S40.019
Unspecified
Contusion of unspecified shoulder

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S40.011 and S40.019 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S40.011Contusion of right shoulderS40.019Contusion of unspecified shoulder
Billing statusNon-billable headerNon-billable header
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionContusion of right shoulder is a non-billable ICD-10-CM category code (S40.011).Contusion of unspecified shoulder is a non-billable ICD-10-CM category code (S40.019).
7th characterThe appropriate 7th character is to be added to each code from category S40The appropriate 7th character is to be added to each code from category S40
Includes
injuries of axilla
injuries of scapular region
injuries of axilla
injuries of scapular region

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources