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Compare/W04 vs W28

W04 vs W28

W04 (Fall while being carried or supported by other persons) compared with W28 (Contact with powered lawn mower), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. W04 carries an Excludes1 note covering W28: “fall (in) (from) machinery (in operation) (W28-W31)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

W04Fall while being carried or supported by other personsW28Contact with powered lawn mower
Billing statusNon-billable header

Report instead: W04.XXXA, W04.XXXD, W04.XXXS

Non-billable header

Report instead: W28.XXXA, W28.XXXD, W28.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionFall while being carried or supported by other persons is a non-billable ICD-10-CM category code (W04).Contact with powered lawn mower is a non-billable ICD-10-CM category code (W28).
7th characterThe appropriate 7th character is to be added to code W04The appropriate 7th character is to be added to code W28
Includes
Accidentally dropped while being carried
Powered lawn mower (commercial) (residential)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources