W57.XXXD
W57.XXXD: Bitten or stung by nonvenomous insect and other nonvenomous arthropods, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
W57.XXXD is a billable, specific ICD-10-CM code for bitten or stung by nonvenomous insect and other nonvenomous arthropods, subsequent encounter. It is valid for submission on a claim.
Check W57.XXXD with the rest of the claim: free scrubber7th character "D": subsequent encounter
The appropriate 7th character is to be added to code W57
- 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.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
W57.XXXD is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Code history
Unchanged in every release from FY2024 to FY2027.