W60.XXXD — Contact with nonvenomous plant thorns and spines and sharp leaves, subsequent encounter
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-)
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
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 an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.