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S48.019 ICD-10-CM Code: Complete traumatic amputation at unspecified shoulder joint

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the shoulder and upper arm (S40-S49)

S48.019

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Complete traumatic amputation at unspecified shoulder joint

Complete traumatic amputation at unspecified shoulder joint

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S48.0Traumatic amputation at shoulder joint
S48.01Complete traumatic amputation at shoulder joint
S48.019Complete traumatic amputation at unspecified shoulder joint

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S48.019 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S48.019 in this effective period.

Related Child Codes

Official
S48.019AComplete traumatic amputation at unspecified shoulder joint, initial encounter
S48.019DComplete traumatic amputation at unspecified shoulder joint, subsequent encounter
S48.019SComplete traumatic amputation at unspecified shoulder joint, sequela

Includes

Official

ICD-10-CM does not list Includes notes for S48.019 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S48.019 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S48.019 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S48.019 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S48.019 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S48.019 is the ICD-10-CM diagnosis code for complete traumatic amputation at unspecified shoulder joint. S48.019 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the shoulder and upper arm (s40-s49).

Header codes like S48.019 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S48.019's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S48.019 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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