ICD-10/S40.249

S40.249 ICD 2026 Code: External constriction of unspecified shoulder

S40.249 is the authoritative medical code for External constriction of unspecified shoulder. This classification is used in medical billing and clinical recording to specify the clinical criteria for external constriction of unspecified shoulder (ICD-10-CM S40.249), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

External constriction of unspecified shoulder is a non-billable ICD-10-CM category code S40.249. A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Excludes2 (not included here): burns and corrosions T20-T32; frostbite T33-T34; injuries of elbow S50-S59; insect bite or sting, venomous T63.4. 7th character: The appropriate 7th character is to be added to each code from category S40.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S40.249 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries of axilla
  • injuries of scapular region

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • burns and corrosions T20-T32
  • frostbite T33-T34
  • injuries of elbow S50-S59
  • insect bite or sting, venomous T63.4

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S40.249 be billed directly?

No. S40.249 (External constriction of unspecified shoulder) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S40.249 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S40.

Can S40.249 be reported alongside related conditions?

Per Excludes2 instructions, S40.249 and the following may both be reported when both are present: burns and corrosions (T20-T32); frostbite (T33-T34); injuries of elbow (S50-S59); insect bite or sting, venomous (T63.4).

Codes in This Family (3)

Official ICD-10-CM classifications in the same code family as S40.249, with their registry titles.

  • S40.249A — External constriction of unspecified shoulder, initial encounter
  • S40.249D — External constriction of unspecified shoulder, subsequent encounter
  • S40.249S — External constriction of unspecified shoulder, sequela

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

ICD Code S36.249 Minor laceration of unspecified part of pancreas
ICD Code S42.249 4-part fracture of surgical neck of unspecified humerus
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