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W23.2XXA vs W27

W23.2XXA (Caught, crushed, jammed or pinched between a moving and stationary object, initial encounter) compared with W27 (Contact with nonpowered hand tool), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

W23.2XXA
Caught, crushed, jammed or pinched between a moving and stationary object, initial encounter
↔
W27
Contact with nonpowered hand tool

Not coded here — these two are mutually exclusive.

“injury caused by cutting or piercing instruments (W25-W27)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Conflict

Excludes1 conflict

W23.2XXA
Caught, crushed, jammed or pinched between a moving and stationary object, initial encounter
↔
W27
Contact with nonpowered hand tool

Not coded here — these two are mutually exclusive.

“injury caused by nonpowered hand tools (W27.-)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. W23.2XXA carries an Excludes1 note covering W27: “injury caused by cutting or piercing instruments (W25-W27)”

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

No — do not report together. W23.2XXA carries an Excludes1 note covering W27: “injury caused by nonpowered hand tools (W27.-)”

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

W23.2XXACaught, crushed, jammed or pinched between a moving and stationary object, initial encounterW27Contact with nonpowered hand tool
Billing statusBillableNon-billable header

Report instead: W27.0XXA, W27.0XXD, W27.0XXS, W27.1XXA, W27.1XXD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionCaught, crushed, jammed or pinched between a moving and stationary object, initial encounter is a billable ICD-10-CM diagnosis code (W23.2A).Contact with nonpowered hand tool is a non-billable ICD-10-CM category code (W27).
7th characterThe appropriate 7th character is to be added to each code from category W23The appropriate 7th character is to be added to each code from category W27
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources