Traumatic amputation of shoulder and upper arm

**Inclusion terms:** - An amputation not identified as partial or complete should be coded to complete

**Excludes1:** - traumatic amputation at elbow level (S58.0)

**7th character note:** - The appropriate 7th character is to be added to each code from category S48

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