W25.XXXD vs W50

W25.XXXD (Contact with sharp glass, subsequent encounter) compared with W50 (Accidental hit, strike, kick, twist, bite or scratch by another person), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

W25.XXXD

Contact with sharp glass, subsequent encounter

↔

W50

Accidental hit, strike, kick, twist, bite or scratch by another person

Not coded here — these two are mutually exclusive.

“contact or collision with animals or persons (W50-W64)”

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. W25.XXXD carries an Excludes1 note covering W50: “contact or collision with animals or persons (W50-W64)”

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

	W25.XXXDContact with sharp glass, subsequent encounter	W50Accidental hit, strike, kick, twist, bite or scratch by another person
Billing status	Billable	Non-billable header Report instead: W50.0XXA, W50.0XXD, W50.0XXS, W50.1XXA, W50.1XXD
Classification	V00-Y99 — External Causes of Morbidity (V00-Y99)	V00-Y99 — External Causes of Morbidity (V00-Y99)
Definition	Contact with sharp glass, subsequent encounter is a billable ICD-10-CM diagnosis code (W25D).	Accidental hit, strike, kick, twist, bite or scratch by another person is a non-billable ICD-10-CM category code (W50).
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 W50
Includes	—	hit, strike, kick, twist, bite, or scratch by another person NOS
Code first	any associated: injury due to flying glass from explosion or firearm discharge (W32-W40)	—

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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