MCMCB Pro
W46

W46Contact with hypodermic needle

Non-billable headerICD-10-CM

W46 is a non-billable header ICD-10-CM code for contact with hypodermic needle. 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 W46

A
initial encounter
D
subsequent encounter
S
sequela

Other codes that can never be billed with W46

These codes carry an Excludes1 note pointing at W46. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W46 alone.

  • W27.3Contact with needle (sewing)
  • W27.3XXAContact with needle (sewing), initial encounter
  • W27.3XXDContact with needle (sewing), subsequent encounter
  • W27.3XXSContact with needle (sewing), sequela

Risk adjustment

W46 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 W46

2 child codes. Green means billable.

Questions about W46

Is W46 a billable ICD-10-CM code?
No. W46 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does W46 sit in the tabular list?
External causes of morbidity (V00-Y99), in the block Exposure to inanimate mechanical forces (W20-W49).
ICD-10-CMFY2026-Apr· effective April 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.