Is S41.149 a billable ICD-10-CM code?

No. S41.149 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S41.149 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).

What cannot be coded together with S41.149?

S41.149 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S41.149 (S41) and apply to it just the same.

S41.149

S41.149 — Puncture wound with foreign body of unspecified upper arm

Non-billable headerICD-10-CMunspecified

S41.149 is a non-billable header ICD-10-CM code for puncture wound with foreign body of unspecified upper arm. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S41

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S41.149

These are not written on S41.149, but they bind it: a note on a category applies to every code beneath it. Billing S41.149 with anything listed here is a denial.

Written on S41 — Open wound of shoulder and upper arm

traumatic amputation of shoulder and upper arm (S48.-)

Excludes2 inherited from the categories above S41.149

Also inherited, and the opposite of Excludes1: these conditions are not part of S41.149, but a patient can have both, so you may code both.

Written on S41 — Open wound of shoulder and upper arm

open fracture of shoulder and upper arm (S42.- with 7th character B or C)

Risk adjustment

S41.149 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How S41.149 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S41.149.

Puncture›arm›with foreign body

Code history

S41.149 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead S41.149

3 child codes. Green means billable.

Related codes at this level

Codes that share S41.14. If S41.149 is not quite right, the correct code is usually one of these.

Questions about S41.149

Is S41.149 a billable ICD-10-CM code?: No. S41.149 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S41.149 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).
What cannot be coded together with S41.149?: S41.149 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S41.149 (S41) and apply to it just the same.