Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the shoulder and upper arm
(S40-S49)

Includes: injuries of:
· axilla
· scapular region
Excludes: bilateral involvement of shoulder and upper arm ( T00-T07 )
burns and corrosions ( T20-T32 )
frostbite ( T33-T35 )
injuries of:
· arm, level unspecified ( T10-T11 )
· elbow ( S50-S59 )
insect bite or sting, venomous ( T63.4 )

S40 Superficial injury of shoulder and upper arm
S40.0 Contusion of shoulder and upper arm
#S40.1 Contusion of arm
S40.7 Multiple superficial injuries of shoulder and upper arm
S40.8 Other superficial injuries of shoulder and upper arm
#S40.80 Abrasion of shoulder and arm
#S40.81 Blister of shoulder and arm
#S40.82 Insect bite of shoulder and arm
#S40.83 Superficial foreign body of shoulder and arm
#S40.88 Other superficial injuries of shoulder and arm
S40.9 Superficial injury of shoulder and upper arm, unspecified

S41 Open wound of shoulder and upper arm
Excludes: traumatic amputation of shoulder and upper arm ( S48.- )
S41.0 Open wound of shoulder
S41.1 Open wound of upper arm
S41.7 Multiple open wounds of shoulder and upper arm
S41.8 Open wound of other and unspecified parts of shoulder girdle

S42 Fracture of shoulder and upper arm
S42.0 Fracture of clavicle
Collar bone
#S42.000 Closed fracture of clavicle, sternal end
#S42.001 Closed fracture of clavicle, shaft
#S42.002 Closed fracture of clavicle, acromial end
#S42.007 Closed fracture of clavicle, multiple fractures
#S42.009 Closed fracture of clavicle, unspecified part
#S42.010 Open fracture of clavicle, sternal end
#S42.011 Open fracture of clavicle, shaft
#S42.012 Open fracture of clavicle, acromial end
#S42.017 Open fracture of clavicle, multiple fractures
#S42.019 Open fracture of clavicle, unspecified part
S42.1 Fracture of scapula
#S42.100 Closed fracture of scapula, body
#S42.101 Closed fracture of scapula, acromion process
#S42.102 Closed fracture of scapula, coracoid
#S42.103 Closed fracture of scapula, glenoid and neck of scapula
#S42.107 Closed fracture of scapula, multiple fractures
#S42.109 Closed fracture of scapula, unspecified part
#S42.110 Open fracture of scapula, body
#S42.111 Open fracture of scapula, acromion process
#S42.112 Open fracture of scapula, coracoid
#S42.113 Open fracture of scapula, glenoid and neck of scapula
#S42.117 Open fracture of scapula, multiple fractures
#S42.119 Open fracture of scapula, unspecified part
S42.2 Fracture of upper end of humerus



#		 Anatomical neck
Great tuberosity
Proximal end
Proximal humerus
Surgical neck
Upper epiphysis
#S42.200 Closed fracture of proximal humerus, non-displaced
#S42.201 Closed fracture of proximal humerus, 2 parts
#S42.202 Closed fracture of proximal humerus, 3 parts
#S42.203 Closed fracture of proximal humerus, 4 parts
#S42.204 Closed fracture of proximal humerus, with articular involvement
#S42.205 Closed fracture of epiphysis of proximal humerus
Upper epiphysis
#S42.208 Closed fracture of proximal humerus, others
#S42.209 Closed fracture of proximal humerus, unspecified
#S42.210 Open fracture of proximal humerus, non-displaced
#S42.211 Open fracture of proximal humerus, 2 parts
#S42.212 Open fracture of proximal humerus, 3 parts
#S42.213 Open fracture of proximal humerus, 4 parts
#S42.214 Open fracture of proximal humerus, with articular involvement
#S42.215 Open fracture of epiphysis of proximal humerus
#S42.218 Open fracture of proximal humerus, others
#S42.219 Open fracture of proximal humerus, unspecified
S42.3 Fracture of shaft of humerus
Humerus NOS
Upper arm NOS
#S42.300 Closed fracture of shaft of humerus, simple fracture
#S42.301 Closed fracture of shaft of humerus, butterfly fracture
#S42.302 Closed fracture of shaft of humerus, comminuted fracture
#S42.307 Multiple closed fractures of shaft of humerus
#S42.309 Closed fracture of shaft of humerus, unspecified
#S42.310 Open fracture of shaft of humerus, simple fracture
#S42.311 Open fracture of shaft of humerus, butterfly fracture
#S42.312 Open fracture of shaft of humerus, comminuted fracture
#S42.317 Multiple open fractures of shaft of humerus
#S42.319 Open fracture of shaft of humerus, unspecified
S42.4 Fracture of lower end of humerus


#		 Articular process
Distal end
Distal humerus
Excludes: fracture of elbow NOS ( S52.0)
#S42.400 Closed fracture of distal humerus, supracondylar
#S42.401 Closde fracture of distal humerus, lateral condyle
External condyle
#S42.402 Closed fracture of distal humerus, medial condyle
Internal condyle
#S42.403 Closed fracture of distal humerus, other parts of condyle and epicondyle
#S42.404 Closed fracture of distal humerus, T-shape intraarticular fracture
Intercondylar
#S42.405 Closed fracture of distal humerus, multifragment intraarticular fracture
#S42.406 Closed fracture of physis and apophysis of distal humerus
Lower epiphysis
#S42.407 Multiple closed fractures of distal humerus
#S42.408 Closed fracture of distal humerus, others
#S42.409 Closed fracture of distal humerus, unspecified
Distal NOS
Distal humerus NOS
#S42.410 Open fracture of distal humerus, supracondylar
#S42.411 Open fracture of distal humerus, lateral condyle
External condyle
#S42.412 Open fracture of distal humerus, medial condyle
Internal condyle
#S42.413 Open fracture of distal humerus, other parts of condyle and epicondyle
#S42.414 Open fracture of distal humerus, T-shape intraarticular fracture
#S42.415 Open fracture of distal humerus, multifragment intraarticular fracture
#S42.416 Open fracture of physis and apophysis of distal humerus
Lower epiphysis
#S42.417 Multiple open fractures of distal humerus
#S42.418 Open fracture of distal humerus, others
#S42.419 Open fracture of distal humerus, unspecified
Distal NOS
Distal humerus NOS
S42.7 Multiple fractures of clavicle, scapula and humerus
#S42.70 Multiple closed fractures of clavicle, scapula and humerus
#S42.71 Multiple open fractures of clavicle, scapula and humerus
S42.8 Fracture of other parts of shoulder and upper arm
#S42.80 Closed fracture of other parts of shoulder and arm
#S42.81 Open fracture of other parts of shoulder and arm
S42.9 Fracture of shoulder girdle, part unspecified
Fracture of shoulder NOS
#S42.90 Closed fracture of shoulder girdle, part unspecified
#S42.91 Open fracture of shoulder girdle, part unspecified

S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle
S43.0 Dislocation of shoulder joint
Glenohumeral joint
#S43.00 Dislocation of shoulder joint, anterior
#S43.01 Dislocation of shoulder joint, posterior
#S43.02 Dislocation of shoulder joint, inferior
#S43.08 Dislocation of shoulder joint, others
#S43.09 Dislocation of shoulder joint, unspecified
S43.1 Dislocation of acromioclavicular joint
S43.2 Dislocation of sternoclavicular joint
S43.3 Dislocation of other and unspecified parts of shoulder girdle
Dislocation of shoulder girdle NOS
S43.4 Sprain and strain of shoulder joint
Coracohumeral (ligament)
Rotator cuff capsule
S43.5 Sprain and strain of acromioclavicular joint
Acromioclavicular ligament
S43.6 Sprain and strain of sternoclavicular joint
S43.7 Sprain and strain of other and unspecified parts of shoulder girdle
Sprain and strain of shoulder girdle NOS

S44 Injury of nerves at shoulder and upper arm level
Excludes: injury of brachial plexus ( S14.3 )
# S44.0 Injury of ulnar nerve at upper arm level
Excludes: ulnar nerve NOS ( S54.0 )
# S44.1 Injury of median nerve at upper arm level
Excludes: median nerve NOS ( S54.1 )
# S44.2 Injury of radial nerve at upper arm level
Excludes: radial nerve NOS ( S54.2 )
# S44.3 Injury of axillary nerve
# S44.4 Injury of musculocutaneous nerve
# S44.5 Injury of cutaneous sensory nerve at shoulder and upper arm level
# S44.7 Injury of multiple nerves at shoulder and upper arm level
# S44.8 Injury of other nerves at shoulder and upper arm level
# S44.9 Injury of unspecified nerve at shoulder and upper arm level

S45 Injury of blood vessels at shoulder and upper arm level
Excludes: injury of subclavian:
· artery ( S25.1 )
· vein ( S25.3 )
S45.0 Injury of axillary artery
S45.1 Injury of brachial artery
S45.2 Injury of axillary or brachial vein
S45.3 Injury of superficial vein at shoulder and upper arm level
S45.7 Injury of multiple blood vessels at shoulder and upper arm level
S45.8 Injury of other blood vessels at shoulder and upper arm level
S45.9 Injury of unspecified blood vessel at shoulder and upper arm level

S46 Injury of muscle and tendon at shoulder and upper arm level
Excludes: injury of muscle and tendon at or below elbow ( S56.- )
S46.0 Injury of tendon of the rotator cuff of shoulder
S46.1 Injury of muscle and tendon of long head of biceps
S46.2 Injury of muscle and tendon of other parts of biceps
S46.3 Injury of muscle and tendon of triceps
S46.7 Injury of multiple muscles and tendons at shoulder and upper arm level
S46.8 Injury of other muscles and tendons at shoulder and upper arm level
S46.9 Injury of unspecified muscle and tendon at shoulder and upper arm level

S47 Crushing injury of shoulder and upper arm
Excludes: crushing injury of elbow ( S57.0 )

S48 Traumatic amputation of shoulder and upper arm
Excludes: traumatic amputation:
· at elbow level ( S58.0 )
· of arm, level unspecified ( T11.6 )
S48.0 Traumatic amputation at shoulder joint
S48.1 Traumatic amputation at level between shoulder and elbow
S48.9 Traumatic amputation of shoulder and upper arm, level unspecified

S49 Other and unspecified injuries of shoulder and upper arm
S49.7 Multiple injuries of shoulder and upper arm
Injuries classifiable to more than one of the categories S40-S48
S49.8 Other specified injuries of shoulder and upper arm
S49.9 Unspecified injury of shoulder and upper arm