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S41.031D vs S41.039D

S41.031D (Puncture wound without foreign body of right shoulder, subsequent encounter) compared with S41.039D (Puncture wound without foreign body of unspecified shoulder, subsequent encounter), from the official CMS tabular data. S41.031D and S41.039D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S41.031D
Right
Puncture wound without foreign body of right shoulder, subsequent encounter
S41.039D
Unspecified
Puncture wound without foreign body of unspecified shoulder, subsequent encounter

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. S41.031D and S41.039D 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

S41.031DPuncture wound without foreign body of right shoulder, subsequent encounterS41.039DPuncture wound without foreign body of unspecified shoulder, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionPuncture wound without foreign body of right shoulder, subsequent encounter is a billable ICD-10-CM diagnosis code (S41.031D).Puncture wound without foreign body of unspecified shoulder, subsequent encounter is a billable ICD-10-CM diagnosis code (S41.039D).
7th characterThe appropriate 7th character is to be added to each code from category S41The appropriate 7th character is to be added to each code from category S41
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