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S40.911 vs S40.912

S40.911 (Unspecified superficial injury of right shoulder) compared with S40.912 (Unspecified superficial injury of left shoulder), from the official CMS tabular data. S40.911 and S40.912 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S40.911
Right
Unspecified superficial injury of right shoulder
S40.912
Left
Unspecified superficial injury of left 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. S40.911 and S40.912 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

S40.911Unspecified superficial injury of right shoulderS40.912Unspecified superficial injury of left shoulder
Billing statusNon-billable header

Report instead: S40.911A, S40.911D, S40.911S

Non-billable header

Report instead: S40.912A, S40.912D, S40.912S

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)
DefinitionUnspecified superficial injury of right shoulder is a non-billable ICD-10-CM category code (S40.911).Unspecified superficial injury of left shoulder is a non-billable ICD-10-CM category code (S40.912).
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