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ICD-10-CM 2027 diagnosis code

S41.021DLaceration with foreign body of right shoulder, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

S41.021D is a valid, billable ICD-10-CM code for laceration with foreign body of right shoulder, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Laceration with foreign body of right shoulder, subs encntr

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S41.021D

S41.021D is the ICD-10-CM diagnosis code for laceration with foreign body of right shoulder, subsequent encounter. It belongs to category S41 (open wound of shoulder and upper arm), block S40-S49 (injuries to the shoulder and upper arm) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V58.89 (other specified aftercare).

7th character

Dsubsequent encounter

Other encounter types for S41.021:

Notes that apply from higher levels

Instructions written at a parent level also apply to S41.021D.

› From S41 Open wound of shoulder and upper arm
Excludes1
  • traumatic amputation of shoulder and upper arm (S48.-)
Excludes2
  • open fracture of shoulder and upper arm (S42.- with 7th character B or C)
Code also
  • any associated wound infection

Broader instructions also apply from S40-S49 Injuries to the shoulder and upper arm and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V58.89Other specified aftercareapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S41.021D

Is S41.021D billable?

Yes. S41.021D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of S41.021D mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can S41.021D be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S41.021D as a principal diagnosis.

Is S41.021D a CC or MCC?

No. S41.021D is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S41.021D group to?

S41.021D is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S41.021D?

The CMS General Equivalence Mappings map S41.021D to ICD-9-CM V58.89.