W27
W27 — Contact with nonpowered hand tool
Non-billable headerICD-10-CM
W27 is a non-billable header ICD-10-CM code for contact with nonpowered hand tool. 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 each code from category W27
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with W27
These codes carry an Excludes1 note pointing at W27. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W27 alone.
- W23Caught, crushed, jammed or pinched in or between objects
- W28Contact with powered lawn mower
- W28.XXXAContact with powered lawn mower, initial encounter
- W28.XXXDContact with powered lawn mower, subsequent encounter
- W28.XXXSContact with powered lawn mower, sequela
- W29Contact with other powered hand tools and household machinery
- W31.2Contact with powered woodworking and forming machines
- W31.2XXAContact with powered woodworking and forming machines, initial encounter
Risk adjustment
W27 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.
Code to one of these instead W27
7 child codes. Green means billable.
Questions about W27
- Is W27 a billable ICD-10-CM code?
- No. W27 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W27 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Exposure to inanimate mechanical forces (W20-W49).