ICD-10-CM 2027 diagnosis code
S49.81XSOther specified injuries of right shoulder and upper arm, sequela
S49.81XS is a valid, billable ICD-10-CM code for other specified injuries of right shoulder and upper arm, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Oth injuries of right shoulder and upper arm, sequela
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 S49.81XS
S49.81XS is the ICD-10-CM diagnosis code for other specified injuries of right shoulder and upper arm, sequela. It belongs to category S49 (other and unspecified injuries 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 "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.
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 913 (Traumatic Injury with MCC, relative weight 1.5455) and DRG 914 (Traumatic Injury without MCC, relative weight 0.9285), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), 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 908.9 (late effect of unspecified injury).
7th character
Ssequela
Other encounter types for S49.81:
Notes that apply from higher levels
Instructions written at a parent level also apply to S49.81XS.
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 21 · Injuries, Poisonings and Toxic Effects of Drugs
ICD-9-CM equivalent
Converter →- 908.9Late effect of unspecified injuryapproximate
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 S49.81XS
Is S49.81XS billable?
- Yes. S49.81XS is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "S" at the end of S49.81XS mean?
- It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.
Can S49.81XS be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S49.81XS as a principal diagnosis.
Is S49.81XS a CC or MCC?
- No. S49.81XS is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S49.81XS group to?
- S49.81XS is used in the MS-DRG v44.0 logic for MS-DRG 913 (Traumatic Injury with MCC) and MS-DRG 914 (Traumatic Injury without 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 S49.81XS?
- The CMS General Equivalence Mappings map S49.81XS to ICD-9-CM 908.9.