Is S48.11 a billable ICD-10-CM code?

No. S48.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S48.11 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 S48.11?

S48.11 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 S48.11 (S48) and apply to it just the same.

S48.11

S48.11 — Complete traumatic amputation at level between shoulder and elbow

Non-billable headerICD-10-CM

S48.11 is a non-billable header ICD-10-CM code for complete traumatic amputation at level between shoulder and elbow. 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 S48

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S48.11

These are not written on S48.11, but they bind it: a note on a category applies to every code beneath it. Billing S48.11 with anything listed here is a denial.

Written on S48 — Traumatic amputation of shoulder and upper arm

traumatic amputation at elbow level (S58.0)

Other codes that can never be billed with S48.11

These codes carry an Excludes1 note pointing at S48.11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S48.11 alone.

S41Open wound of shoulder and upper arm
S42Fracture of shoulder and upper arm

Risk adjustment

S48.11 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.

Code history

S48.11 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 S48.11

3 child codes. Green means billable.

Related codes at this level

Codes that share S48.1. If S48.11 is not quite right, the correct code is usually one of these.

S48.12Partial traumatic amputation at level between shoulder and elbow

Questions about S48.11

Is S48.11 a billable ICD-10-CM code?: No. S48.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S48.11 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 S48.11?: S48.11 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 S48.11 (S48) and apply to it just the same.