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Compare/W11 vs X04

W11 vs X04

W11 (Fall on and from ladder) compared with X04 (Exposure to ignition of highly flammable material), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. W11 carries an Excludes2 note covering X04: “fall into fire (X00-X04, X08)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

W11Fall on and from ladderX04Exposure to ignition of highly flammable material
Billing statusNon-billable header

Report instead: W11.XXXA, W11.XXXD, W11.XXXS

Non-billable header

Report instead: X04.XXXA, X04.XXXD, X04.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionFall on and from ladder is a non-billable ICD-10-CM category code (W11).Exposure to ignition of highly flammable material is a non-billable ICD-10-CM category code (X04).
7th characterThe appropriate 7th character is to be added to code W11The appropriate 7th character is to be added to code X04
Includes
Exposure to ignition of gasoline
Exposure to ignition of kerosene
Exposure to ignition of petrol

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