Open wound of shoulder and upper arm

**Excludes1:** - traumatic amputation of shoulder and upper arm (S48.-)

**Excludes2:** - open fracture of shoulder and upper arm (S42.- with 7th character B or C)

**Code also:** - any associated wound infection

**7th character note:** - The appropriate 7th character is to be added to each code from category S41

**7th character:** - A: initial encounter - D: subsequent encounter - S: sequela