S47.1XXA — Crushing injury of right shoulder and upper arm, initial encounter
S47.1XXA is a billable, specific ICD-10-CM code for crushing injury of right shoulder and upper arm, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S47
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S47.1XXA 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.
Medicare coverage
S47.1XXA is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Code history
S47.1XXA has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S47.1. If S47.1XXA is not quite right, the correct code is usually one of these.
Questions about S47.1XXA
- Is S47.1XXA a billable ICD-10-CM code?
- Yes. S47.1XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S47.1XXA 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).