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W25.XXXD vs W64

W25.XXXD (Contact with sharp glass, subsequent encounter) compared with W64 (Exposure to other animate mechanical forces), 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. W25.XXXD carries an Excludes1 note covering W64: “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 encounterW64Exposure to other animate mechanical forces
Billing statusBillableNon-billable header

Report instead: W64.XXXA, W64.XXXD, W64.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionContact with sharp glass, subsequent encounter is a billable ICD-10-CM diagnosis code (W25D).Exposure to other animate mechanical forces is a non-billable ICD-10-CM category code (W64).
7th characterThe appropriate 7th character is to be added to code W25The appropriate 7th character is to be added to code W64
Includes
exposure to nonvenomous animal NOS
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