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W25.XXXD vs X92

W25.XXXD (Contact with sharp glass, subsequent encounter) compared with X92 (Assault by drowning and submersion), 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 X92: “assault (X92-Y09)”

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 encounterX92Assault by drowning and submersion
Billing statusBillableNon-billable header

Report instead: X92.0XXA, X92.0XXD, X92.0XXS, X92.1XXA, X92.1XXD

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).Assault by drowning and submersion is a non-billable ICD-10-CM category code (X92).
7th characterThe appropriate 7th character is to be added to code W25The appropriate 7th character is to be added to each code from category X92
Includes
homicide
injuries inflicted by another person with intent to injure or kill, by any means
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