W44.D4XS ICD-10-CM Code: Magnetic metal jewelry entering into or through a natural orifice, sequela
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for W44.D4XS in the official ICD-10-CM tabular list.
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).
- assault (X92-Y09) Compare W44.D4XS vs X92 →
- contact or collision with animals or persons (W50-W64) Compare W44.D4XS vs W50 →
- exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-) Compare W44.D4XS vs Y36 →
- intentional self-harm (X71-X83) Compare W44.D4XS vs X71 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- contact with other sharp objects (W26) Compare W44.D4XS vs W26 →
- contact with sharp glass (W25) Compare W44.D4XS vs W25 →
- foreign body or object entering through skin (W45) Compare W44.D4XS vs W45 →
Change history
- FY2024 — 2023-10-01Added to the code setMagnetic metal jewelry entering into or through a natural orifice, sequelaFY2024 changes
Verify Before Coding
- Billable — reportable as written.
- 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.
Contextual Map
Every relationship of W44.D4XS 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.
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99) [Hierarchy]
- W00-X58 — Other external causes of accidental injury [Hierarchy]
- W20-W49 — Exposure to inanimate mechanical forces [Hierarchy]
Referenced by Use Additional Code instructions
- T15 — Foreign body on external eye [Use Additional Code](via W44.-): “code, if known, for foreign body entering into or through a natural orifice (W44.-)”
- T15-T19 — Effects of foreign body entering through natural orifice (T15-T19) [Use Additional Code](via W44.-): “code, if known, for foreign body entering into or through a natural orifice (W44.-)”
- T16 — Foreign body in ear [Use Additional Code](via W44.-): “code, if known, for foreign body entering into or through a natural orifice (W44.-)”
- T17 — Foreign body in respiratory tract [Use Additional Code](via W44.-): “code, if known, for foreign body entering into or through a natural orifice (W44.-)”
- T18 — Foreign body in alimentary tract [Use Additional Code](via W44.-): “code, if known, for foreign body entering into or through a natural orifice (W44.-)”
- T19 — Foreign body in genitourinary tract [Use Additional Code](via W44.-): “code, if known, for foreign body entering into or through a natural orifice (W44.-)”
Clinical classification (CCSR)
- EXT030 — External cause codes: sequela [CCSR]
Nearest codes (40)
- W44 — Foreign body entering into or through a natural orifice [Sibling]
- W44.D — Magnetic metal entering into or through a natural orifice [Sibling]
- W44.D0 — Magnetic metal object unspecified, entering into or through a natural orifice [Sibling]
- W44.D0XA — Magnetic metal object unspecified, entering into or through a natural orifice, initial encounter [Sibling]
- W44.D0XD — Magnetic metal object unspecified, entering into or through a natural orifice, subsequent encounter [Sibling]
- W44.D0XS — Magnetic metal object unspecified, entering into or through a natural orifice, sequela [Sibling]
- W44.D1 — Magnetic metal bead entering into or through a natural orifice [Sibling]
- W44.D1XA — Magnetic metal bead entering into or through a natural orifice, initial encounter [Sibling]
- and 32 more
Change history
- FY2024 — Added to the code set [Change history]
Referenced by Other Codes
Clinical classification (AHRQ CCSR):EXT030 — External cause codes: sequela.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Official ICD-10-CM tabular notes on other codes that name W44.D4XS or its code family.
6 Use Additional Code instructions: T15 (via W44.-), T15-T19 (via W44.-), T16 (via W44.-), T17 (via W44.-), T18 (via W44.-), T19 (via W44.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does W44.D4XS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category W44.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to W44.D4XS in its code family, with their registry titles.
- W44.D3XD — Magnetic metal toy entering into or through a natural orifice, subsequent encounter
- W44.D3XS — Magnetic metal toy entering into or through a natural orifice, sequela
- W44.D4 — Magnetic metal jewelry entering into or through a natural orifice
- W44.D4XA — Magnetic metal jewelry entering into or through a natural orifice, initial encounter
- W44.D4XD — Magnetic metal jewelry entering into or through a natural orifice, subsequent encounter
- W44.D9 — Other magnetic metal objects entering into or through a natural orifice
- W44.D9XA — Other magnetic metal objects entering into or through a natural orifice, initial encounter
- W44.D9XD — Other magnetic metal objects entering into or through a natural orifice, subsequent encounter
- W44.D9XS — Other magnetic metal objects entering into or through a natural orifice, sequela
- W44.E — Non-magnetic metal entering into or through a natural orifice