S41.14 ICD-10-CM Code: Puncture wound with foreign body of upper arm
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S41.14 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
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- traumatic amputation of shoulder and upper arm (S48.-) Compare S41.14 vs S48 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- open fracture of shoulder and upper arm (S42.- with 7th character B or C) Compare S41.14 vs S42 →
- burns and corrosions (T20-T32) Compare S41.14 vs T20 →
- frostbite (T33-T34) Compare S41.14 vs T33 →
- injuries of elbow (S50-S59) Compare S41.14 vs S50 →
- insect bite or sting, venomous (T63.4) Compare S41.14 vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated wound infection
Frequently Compared Codes
The official Excludes notes on S41.14 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required: S41.141A, S41.141D, S41.141S, S41.142A, S41.142D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S41" Options: S41.141A, S41.141D, S41.141S, S41.142A, S41.142D, S41.142S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Official ICD-10-CM tabular notes on other codes that name S41.14 or its code family.
1 Excludes1 notes: S40.87.
3 Code Also instructions: S44 (via S41.-), S45 (via S41.-), S46 (via S41.-).
Contextual Map
Every relationship of S41.14 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
Referenced by Excludes1 notes
- S40.87 — Other superficial bite of upper arm [Excludes1]: “open bite of upper arm (S41.14)” · check together
Referenced by Code Also instructions
- S44 — Injury of nerves at shoulder and upper arm level [Code Also](via S41.-): “any associated open wound (S41.-)” · check together
- S45 — Injury of blood vessels at shoulder and upper arm level [Code Also](via S41.-): “any associated open wound (S41.-)” · check together
- S46 — Injury of muscle, fascia and tendon at shoulder and upper arm level [Code Also](via S41.-): “any associated open wound (S41.-)” · check together
Nearest codes (40)
- S41 — Open wound of shoulder and upper arm [Sibling]
- S41.122A — Laceration with foreign body of left upper arm, initial encounter [Sibling]
- S41.122D — Laceration with foreign body of left upper arm, subsequent encounter [Sibling]
- S41.122S — Laceration with foreign body of left upper arm, sequela [Sibling]
- S41.129 — Laceration with foreign body of unspecified upper arm [Sibling]
- S41.129A — Laceration with foreign body of unspecified upper arm, initial encounter [Sibling]
- S41.129D — Laceration with foreign body of unspecified upper arm, subsequent encounter [Sibling]
- S41.129S — Laceration with foreign body of unspecified upper arm, sequela [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S41.14 be billed directly?
No. S41.14 (Puncture wound with foreign body of upper arm) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S41.14 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S41.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S41.14 in its code family, with their registry titles.
- S41.132S — Puncture wound without foreign body of left upper arm, sequela
- S41.139 — Puncture wound without foreign body of unspecified upper arm
- S41.139A — Puncture wound without foreign body of unspecified upper arm, initial encounter
- S41.139D — Puncture wound without foreign body of unspecified upper arm, subsequent encounter
- S41.139S — Puncture wound without foreign body of unspecified upper arm, sequela
- S41.141 — Puncture wound with foreign body of right upper arm
- S41.141A — Puncture wound with foreign body of right upper arm, initial encounter
- S41.141D — Puncture wound with foreign body of right upper arm, subsequent encounter
- S41.141S — Puncture wound with foreign body of right upper arm, sequela
- S41.142 — Puncture wound with foreign body of left upper arm