W55
W55 — Contact with other mammals
Non-billable headerICD-10-CM
W55 is a non-billable header ICD-10-CM code for contact with other mammals. 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 W55
- 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.
Includes
Conditions this code covers.
- contact with saliva, feces or urine of mammal
Risk adjustment
W55 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 W55
7 child codes. Green means billable.
Questions about W55
- Is W55 a billable ICD-10-CM code?
- No. W55 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W55 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Exposure to animate mechanical forces (W50-W64).
- What cannot be coded together with W55?
- W55 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.