W44.B1 vs W44.B4
W44.B1 (Plastic bead entering into or through a natural orifice) compared with W44.B4 (Plastic jewelry entering into or through a natural orifice), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. W44.B1 carries an Excludes2 note covering W44.B4: “Plastic jewelry entering into or through a natural orifice (W44.B4)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. W44.B4 carries an Excludes2 note covering W44.B1: “Plastic bead entering into or through a natural orifice (W44.B1)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| W44.B1Plastic bead entering into or through a natural orifice | W44.B4Plastic jewelry entering into or through a natural orifice | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Plastic bead entering into or through a natural orifice is a non-billable ICD-10-CM category code (W44.B1). | Plastic jewelry entering into or through a natural orifice is a non-billable ICD-10-CM category code (W44.B4). |
| 7th character | The appropriate 7th character is to be added to each code from category W44 | The appropriate 7th character is to be added to each code from category W44 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources