W25 (Contact with sharp glass) compared with W44.C2XD (Intact glass entering into or through a natural orifice, subsequent encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“contact with sharp glass (W25)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. W44.C2XD carries an Excludes2 note covering W25: “contact with sharp glass (W25)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| W25Contact with sharp glass | W44.C2XDIntact glass entering into or through a natural orifice, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Contact with sharp glass is a non-billable ICD-10-CM category code (W25). | Intact glass entering into or through a natural orifice, subsequent encounter is a billable ICD-10-CM diagnosis code (W44.C2D). |
| 7th character | The appropriate 7th character is to be added to code W25 | The appropriate 7th character is to be added to each code from category W44 |
| Includes | — | Intact glass bottle entering into or through a natural orifice |
| Code first | any associated: injury due to flying glass from explosion or firearm discharge (W32-W40) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources