W25 — Contact with sharp glass
W25 is a non-billable header ICD-10-CM code for contact with sharp glass. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to code W25
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- glass embedded in skin (W45.-)
Code first
The underlying condition must be sequenced before this code.
Other codes that can never be billed with W25
These codes carry an Excludes1 note pointing at W25. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W25 alone.
- W23Caught, crushed, jammed or pinched in or between objects
Risk adjustment
W25 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How W25 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to W25.
- Contact›with›glass(sharp) (broken)
Code to one of these instead W25
3 child codes. Green means billable.
Questions about W25
- Is W25 a billable ICD-10-CM code?
- No. W25 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W25 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Exposure to inanimate mechanical forces (W20-W49).
- What cannot be coded together with W25?
- W25 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.