ICD-10 S47
Non-Billable HeaderCrushing injury of shoulder and upper arm
About ICD-10-CM S47
ICD-10-CM code S47 represents Crushing injury of shoulder and upper arm. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S47). The 2026 edition of ICD-10-CM S47 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for S47
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.
Type 2 Excludes
Not included here, the excluded code is not part of S47, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- crushing injury of elbow (S57.0-)
Use Additional Code
When coding S47, also report these additional codes when applicable.
- code for all associated injuries
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to each code from category S47
Medicare LCD Coverage for S47
Local Coverage Determinations (LCDs) from CMS MACs that list S47 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing S47.
1 Aetna
2 Cigna
CPT Codes Commonly Billed with S47
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To S47
Other codes in section S40-S49 (Injuries to the shoulder and upper arm).
ICD-10 S47, Billing FAQ
Is ICD-10 code S47 billable? +
No, S47 is a non-billable header code. Use a more specific child code from block S47 when submitting claims.
What codes are Type 2 Excludes for S47? +
Type 2 Excludes (may be coded together when both conditions exist): crushing injury of elbow (S57.0-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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