MCMedicalCodingSoftware
W33

W33: Accidental rifle, shotgun and larger firearm discharge and malfunction

Non-billable headerICD-10-CM

W33 is a non-billable header ICD-10-CM code for accidental rifle, shotgun and larger firearm discharge and malfunction. 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 W33

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.

  • accidental airgun discharge and malfunction (W34.010, W34.110)
  • accidental BB gun discharge and malfunction (W34.010, W34.110)
  • accidental handgun discharge and malfunction (W32.-)
  • accidental pellet gun discharge and malfunction (W34.010, W34.110)
  • assault by rifle, shotgun and larger firearm discharge (X94)
  • firearm discharge involving legal intervention (Y35.0-)
  • firearm discharge involving military or war operations (Y36.4-)
  • intentional self-harm by rifle, shotgun and larger firearm discharge (X73)

Includes

Conditions this code covers.

  • rifle, shotgun and larger firearm discharge and malfunction NOS

Other codes that can never be billed with W33

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • W23Caught, crushed, jammed or pinched in or between objects
  • W32Accidental handgun discharge and malfunction

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead W33

2 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.