W57.XXXA
W57.XXXA — Bitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter
Billable / specific codeICD-10-CM
W57.XXXA is a billable, specific ICD-10-CM code for bitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to code W57
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
W57.XXXA 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.
Medicare coverage
W57.XXXA is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58761Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Related codes at this level
Codes that share W57. If W57.XXXA is not quite right, the correct code is usually one of these.
Questions about W57.XXXA
- Is W57.XXXA a billable ICD-10-CM code?
- Yes. W57.XXXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does W57.XXXA 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 W57.XXXA?
- W57.XXXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.