Skip to main content

W44.C1XS vs W45

W44.C1XS (Sharp glass entering into or through a natural orifice, sequela) compared with W45 (Foreign body or object entering through skin), 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.C1XS carries an Excludes2 note covering W45: “foreign body or object entering through skin (W45)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

W44.C1XSSharp glass entering into or through a natural orifice, sequelaW45Foreign body or object entering through skin
Billing statusBillableNon-billable header

Report instead: W45.0XXA, W45.0XXD, W45.0XXS, W45.3XXA, W45.3XXD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionSharp glass entering into or through a natural orifice, sequela is a billable ICD-10-CM diagnosis code (W44.C1S).Foreign body or object entering through skin is a non-billable ICD-10-CM category code (W45).
7th characterThe appropriate 7th character is to be added to each code from category W44The appropriate 7th character is to be added to each code from category W45
Includes
Glass shard entering into or through a natural orifice
foreign body or object embedded in skin
nail embedded in skin

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