W26.8XXD vs Y37

W26.8XXD (Contact with other sharp object(s), not elsewhere classified, subsequent encounter) compared with Y37 (Military operations), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

W26.8XXD

Contact with other sharp object(s), not elsewhere classified, subsequent encounter

↔

Y37

Military operations

Not coded here — these two are mutually exclusive.

“exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”

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. W26.8XXD carries an Excludes1 note covering Y37: “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”

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

	W26.8XXDContact with other sharp object(s), not elsewhere classified, subsequent encounter	Y37Military operations
Billing status	Billable	Non-billable header Report instead: Y37.000A, Y37.000D, Y37.000S, Y37.001A, Y37.001D
Classification	V00-Y99 — External Causes of Morbidity (V00-Y99)	V00-Y99 — External Causes of Morbidity (V00-Y99)
Definition	Contact with other sharp object(s), not elsewhere classified, subsequent encounter is a billable ICD-10-CM diagnosis code (W26.8D).	Military operations is a non-billable ICD-10-CM category code (Y37).
7th character	The appropriate 7th character is to be added to each code from category W26	The appropriate 7th character is to be added to each code from category Y37
Includes	Contact with tin can lid	injuries to military personnel and civilians occurring during peacetime on military property and during routine military exercises and operations

Edit this comparison Check a whole claim

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