ICD-10-CM 2027 diagnosis code
S45.992DOther specified injury of unspecified blood vessel at shoulder and upper arm level, left arm, subsequent encounter
S45.992D is a valid, billable ICD-10-CM code for other specified injury of unspecified blood vessel at shoulder and upper arm level, left arm, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Inj unsp blood vessel at shldr/up arm, left arm, subs
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 S45.992D
S45.992D is the ICD-10-CM diagnosis code for other specified injury of unspecified blood vessel at shoulder and upper arm level, left arm, subsequent encounter. It belongs to category S45 (injury of blood vessels at shoulder and upper arm level), 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
CC/MCC status for this injury by encounter: CC for A; Neither CC nor MCC for D, S.
Other encounter types for S45.992:
Notes that apply from higher levels
Instructions written at a parent level also apply to S45.992D.
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
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about S45.992D
Is S45.992D billable?
- Yes. S45.992D 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 S45.992D 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 S45.992D be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S45.992D as a principal diagnosis.
Is S45.992D a CC or MCC?
- No. S45.992D is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S45.992D group to?
- S45.992D 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.