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W44.C2XA vs Y09

W44.C2XA (Intact glass entering into or through a natural orifice, initial encounter) compared with Y09 (Assault by unspecified means), 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. W44.C2XA carries an Excludes1 note covering Y09: “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

W44.C2XAIntact glass entering into or through a natural orifice, initial encounterY09Assault by unspecified means
Billing statusBillableBillable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionIntact glass entering into or through a natural orifice, initial encounter is a billable ICD-10-CM diagnosis code (W44.C2A).Assault by unspecified means is a billable ICD-10-CM diagnosis code (Y09).
7th characterThe appropriate 7th character is to be added to each code from category W44
Includes
Intact glass bottle entering into or through a natural orifice
homicide
injuries inflicted by another person with intent to injure or kill, by any means
Assassination (attempted) NOS
Homicide (attempted) NOS

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