S49.82XD ICD-10-CM Code: Other specified injuries of left shoulder and upper arm, subsequent encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S49.82XD 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) Compare S49.82XD vs T20 →
- frostbite (T33-T34) Compare S49.82XD vs T33 →
- injuries of elbow (S50-S59) Compare S49.82XD vs S50 →
- insect bite or sting, venomous (T63.4) Compare S49.82XD vs T63.4 →
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S49.82XD 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]
- S40-S49 — Injuries to the shoulder and upper arm [Hierarchy]
Clinical classification (CCSR)
- INJ063 — Other specified injury, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing · procedures (1235)
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- and 1230 more
Nearest codes (40)
- S49 — Other and unspecified injuries of shoulder and upper arm [Sibling]
- S49.191S — Other physeal fracture of lower end of humerus, right arm, sequela [Sibling]
- S49.192 — Other physeal fracture of lower end of humerus, left arm [Sibling]
- S49.192A — Other physeal fracture of lower end of humerus, left arm, initial encounter for closed fracture [Sibling]
- S49.192D — Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healing [Sibling]
- S49.192G — Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing [Sibling]
- S49.192K — Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion [Sibling]
- S49.192P — Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunion [Sibling]
- and 32 more
Relationships & Classification
Clinical classification (AHRQ CCSR):INJ063 — Other specified injury, subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S49.82XD require a 7th character?
Yes. The appropriate 7th character is to be added to each code in subcategory S49.8; The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S49.82XD in its code family, with their registry titles.
- S49.81XA — Other specified injuries of right shoulder and upper arm, initial encounter
- S49.81XD — Other specified injuries of right shoulder and upper arm, subsequent encounter
- S49.81XS — Other specified injuries of right shoulder and upper arm, sequela
- S49.82 — Other specified injuries of left shoulder and upper arm
- S49.82XA — Other specified injuries of left shoulder and upper arm, initial encounter
- S49.82XS — Other specified injuries of left shoulder and upper arm, sequela
- S49.9 — Unspecified injury of shoulder and upper arm
- S49.90 — Unspecified injury of shoulder and upper arm, unspecified arm
- S49.90XA — Unspecified injury of shoulder and upper arm, unspecified arm, initial encounter
- S49.90XD — Unspecified injury of shoulder and upper arm, unspecified arm, subsequent encounter