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Compare/W55 vs W56

W55 vs W56

W55 (Contact with other mammals) compared with W56 (Contact with nonvenomous marine animal), 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. W55 carries an Excludes1 note covering W56: “contact with marine mammals (W56.-)”

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

W55Contact with other mammalsW56Contact with nonvenomous marine animal
Billing statusNon-billable header

Report instead: W55.01XA, W55.01XD, W55.01XS, W55.03XA, W55.03XD

Non-billable header

Report instead: W56.01XA, W56.01XD, W56.01XS, W56.02XA, W56.02XD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionContact with other mammals is a non-billable ICD-10-CM category code (W55).Contact with nonvenomous marine animal is a non-billable ICD-10-CM category code (W56).
7th characterThe appropriate 7th character is to be added to each code from category W55The appropriate 7th character is to be added to each code from category W56
Includes
contact with saliva, feces or urine of mammal

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