S40.012 vs S40.019
S40.012 (Contusion of left shoulder) compared with S40.019 (Contusion of unspecified shoulder), from the official CMS tabular data. S40.012 and S40.019 code the same condition on opposite sides.
Can these codes be reported together?
Same condition, opposite side. S40.012 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
| S40.012Contusion of left shoulder | S40.019Contusion of unspecified shoulder | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | S00-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) |
| Definition | Contusion of left shoulder is a non-billable ICD-10-CM category code (S40.012). | Contusion of unspecified shoulder is a non-billable ICD-10-CM category code (S40.019). |
| 7th character | The appropriate 7th character is to be added to each code from category S40 | The 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