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W26.8XXA vs X92

W26.8XXA (Contact with other sharp object(s), not elsewhere classified, initial 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. W26.8XXA 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

W26.8XXAContact with other sharp object(s), not elsewhere classified, initial 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 other sharp object(s), not elsewhere classified, initial encounter is a billable ICD-10-CM diagnosis code (W26.8A).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 each code from category W26The appropriate 7th character is to be added to each code from category X92
Includes
Contact with tin can lid
homicide
injuries inflicted by another person with intent to injure or kill, by any means

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources