W23.2XXS vs W27
W23.2XXS (Caught, crushed, jammed or pinched between a moving and stationary object, sequela) 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.
Can these codes be reported together?
No — do not report together. W23.2XXS 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. W23.2XXS 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
| W23.2XXSCaught, crushed, jammed or pinched between a moving and stationary object, sequela | W27Contact with nonpowered hand tool | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: W27.0XXA, W27.0XXD, W27.0XXS, W27.1XXA, W27.1XXD |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Caught, crushed, jammed or pinched between a moving and stationary object, sequela is a billable ICD-10-CM diagnosis code (W23.2S). | Contact with nonpowered hand tool is a non-billable ICD-10-CM category code (W27). |
| 7th character | The appropriate 7th character is to be added to each code from category W23 | The appropriate 7th character is to be added to each code from category W27 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources