Is W60.XXXD a billable ICD-10-CM code?

Yes. W60.XXXD is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does W60.XXXD 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 W60.XXXD?

W60.XXXD carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above W60.XXXD (W60) and apply to it just the same.

W60.XXXD

W60.XXXD — Contact with nonvenomous plant thorns and spines and sharp leaves, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

W60.XXXD is a billable, specific ICD-10-CM code for contact with nonvenomous plant thorns and spines and sharp leaves, subsequent encounter. It is valid for submission on a claim.

7th character "D" — subsequent encounter

The appropriate 7th character is to be added to code W60

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.

Contact with venomous plants (T63.7-)

Excludes1 inherited from the categories above W60.XXXD

These are not written on W60.XXXD, but they bind it: a note on a category applies to every code beneath it. Billing W60.XXXD with anything listed here is a denial.

Written on W60 — Contact with nonvenomous plant thorns and spines and sharp leaves

Contact with venomous plants (T63.7-)

Risk adjustment

W60.XXXD 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

W60.XXXD is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A58872Billing and Coding: Tetanus Immunization
A58873Billing and Coding: Tetanus Immunization

Code history

W60.XXXD has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share W60. If W60.XXXD is not quite right, the correct code is usually one of these.

Questions about W60.XXXD

Is W60.XXXD a billable ICD-10-CM code?: Yes. W60.XXXD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does W60.XXXD 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 W60.XXXD?: W60.XXXD carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above W60.XXXD (W60) and apply to it just the same.