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W31.1XXA ICD-10-CM Code: Contact with metalworking machines, initial encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

7th character
Required — see the character table on this page
Tabular directives
9 inclusion terms · 7 Excludes1

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for W31.1XXA in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on W31.1XXA itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Contact with abrasive wheel
  • Contact with forging machine
  • Contact with lathe
  • Contact with mechanical shears
  • Contact with metal drilling machine
  • Contact with milling machine
  • Contact with power press
  • Contact with rolling-mill
  • Contact with metal sawing machine

Source: inherited from W31.1

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

7th Character Guide

"The appropriate 7th character is to be added to each code from category W31"

  • A — initial encounter (this page’s code)
  • D — subsequent encounter
  • S — sequela

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

W31.1XXA, W31.1XXD, W31.1XXS

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for W31.1XXA

MedCoder structured workflow — derived from this code’s own official record

Before you code W31.1XXA

  1. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. This page’s code carries “A”. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

    See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

  2. W31.1XXA’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  3. An external cause code is reported in addition to the code for the injury or condition, never as the principal or first-listed diagnosis. Confirm the cause, intent, place of occurrence, activity and status where the record documents them, and assign the 7th character that matches the injury code. External cause coding guidelines (Guidelines I.C.20.a).

  4. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with W31.1XXA. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in W31.1XXA’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewW30, W86, Y36, Y37

  2. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
    Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
    No → The code is invalid without its 7th character — query for the missing element.

Consider W31.1XXA. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Encounter type
Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes1 — check before selecting W31.1XXA(7 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with W31.1XXA: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareW30, W86, Y36, Y37

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition W31.1XXA describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewW30, W86, Y36, Y37

Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.

Coding question: Which 7th character applies?

Path: Review the official 7th-character definitions for this family in the 7th Character Guide.

Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is W31.1XXA supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Coding context

The comparisons, hierarchy, index entries, guidelines, relationships, risk-adjustment and coverage context a coder commonly needs. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Don’t confuse W31.1XXA with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of W31.1XXA — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • W30— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of contact with agricultural machinery moves the case to W30; the two are not reported together unless documented as unrelated.

    Full comparison: W31.1XXA vs W30 →

  • V01— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of contact with machinery in transport under own power or being towed by a vehicle moves the case to V01; the two are not reported together unless documented as unrelated.

    Full comparison: W31.1XXA vs V01 →

  • V99— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of contact with machinery in transport under own power or being towed by a vehicle moves the case to V99; the two are not reported together unless documented as unrelated.

    Full comparison: W31.1XXA vs V99 →

  • W86— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of exposure to electric current moves the case to W86; the two are not reported together unless documented as unrelated.

    Full comparison: W31.1XXA vs W86 →

  • X92— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of assault moves the case to X92; the two are not reported together unless documented as unrelated.

    Full comparison: W31.1XXA vs X92 →

  • Y09— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of assault moves the case to Y09; the two are not reported together unless documented as unrelated.

    Full comparison: W31.1XXA vs Y09 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Contact with metalworking machines, initial encounter is a billable ICD-10-CM diagnosis code (W31.1XXA).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name W31.1XXA or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 25 Excludes1 notes: V00-V99 — Transport accidents (V00-V99) (via W31.-), V83 — Occupant of special vehicle mainly used on industrial premises injured in transport accident (via W31.-), V85 — Occupant of special construction vehicle injured in transport accident (via W31.-), V86 — Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident (via W31.-), W00 — Fall due to ice and snow (via W31.-), W00-W19 — Slipping, tripping, stumbling and falls (W00-W19) (via W31.-), W01 — Fall on same level from slipping, tripping and stumbling (via W31.-), W03 — Other fall on same level due to collision with another person (via W31.-), W04 — Fall while being carried or supported by other persons (via W31.-), W05 — Fall from non-moving wheelchair, nonmotorized scooter and motorized mobility scooter (via W31.-), W06 — Fall from bed (via W31.-), W07 — Fall from chair (via W31.-), W08 — Fall from other furniture (via W31.-), W10 — Fall on and from stairs and steps (via W31.-), W11 — Fall on and from ladder (via W31.-), W12 — Fall on and from scaffolding (via W31.-), W13 — Fall from, out of or through building or structure (via W31.-), W14 — Fall from tree (via W31.-), W15 — Fall from cliff (via W31.-), W16 — Fall, jump or diving into water (via W31.-), +5 more.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Clinical classification (AHRQ CCSR):EXT006 — External cause codes: machinery; initial encounter; EXT020 — External cause codes: intent of injury, accidental/unintentional.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (External cause codes: machinery; initial encounter, External cause codes: intent of injury, accidental/unintentional).

W24.0XXA — Contact with lifting devices, not elsewhere classified, initial encounter, W24.1XXA — Contact with transmission devices, not elsewhere classified, initial encounter, W30.0XXA — Contact with combine harvester, initial encounter, W30.1XXA — Contact with power take-off devices (PTO), initial encounter, W30.2XXA — Contact with hay derrick, initial encounter, W30.3XXA — Contact with grain storage elevator, initial encounter, W30.81XA — Contact with agricultural transport vehicle in stationary use, initial encounter, W30.89XA — Contact with other specified agricultural machinery, initial encounter, W30.9XXA — Contact with unspecified agricultural machinery, initial encounter, W31.0XXA — Contact with mining and earth-drilling machinery, initial encounter, W31.2XXA — Contact with powered woodworking and forming machines, initial encounter, W31.3XXA — Contact with prime movers, initial encounter, W31.81XA — Contact with recreational machinery, initial encounter, W31.82XA — Contact with other commercial machinery, initial encounter, W31.83XA — Contact with special construction vehicle in stationary use, initial encounter, W31.89XA — Contact with other specified machinery, initial encounter, W31.9XXA — Contact with unspecified machinery, initial encounter, +2290 more

Contextual Map

Every relationship of W31.1XXA in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run W31.1XXA with these 8 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes (25)

Clinical classification (CCSR)

Nearest codes (37)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Deep reference

Published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

Does W31.1XXA require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category W31.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "W31.1XXA — Contact with metalworking machines, initial encounter." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/w31.1xxa-contact-with-metalworking-machines-initial-encounter

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Contact with metalworking machines, initial encounter

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to W31.1XXA in its code family, with their registry titles.

View all codes in the W31 family