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S55.9 ICD-10-CM Code: Injury of unspecified blood vessel at forearm level

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the elbow and forearm (S50-S59)

S55.9

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

Injury of unspecified blood vessel at forearm level

Injury of unspecified blood vessel at forearm level

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
S55Injury of blood vessels at forearm level
S55.9Injury of unspecified blood vessel at forearm level

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S55.9 in this effective period.

Excludes 2

Official
  • injury of blood vessels at wrist and hand level (S65.-)
  • injury of brachial vessels (S45.1-S45.2)

Related Child Codes

Official
S55.90Unspecified injury of unspecified blood vessel at forearm level
S55.91Laceration of unspecified blood vessel at forearm level
S55.99Other specified injury of unspecified blood vessel at forearm level

Includes

Official

ICD-10-CM does not list Includes notes for S55.9 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S55.9 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S55.9 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S55.9 in this effective period.

Code Also

Official
  • any associated open wound (S51.-)

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

S55.9 is the ICD-10-CM diagnosis code for injury of unspecified blood vessel at forearm level. S55.9 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 elbow and forearm (s50-s59).

Header codes like S55.9 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 S55.9'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 S55.9 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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