S41.031A — Puncture wound without foreign body of right shoulder, initial encounter
S41.031A is a billable, specific ICD-10-CM code for puncture wound without foreign body of right shoulder, 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 S41
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S41.031A 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
S41.031A is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52438Billing and Coding: Tetanus Immunization
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Code history
S41.031A 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 S41.031. If S41.031A is not quite right, the correct code is usually one of these.
Questions about S41.031A
- Is S41.031A a billable ICD-10-CM code?
- Yes. S41.031A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S41.031A 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).