DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

W45 Foreign body or object entering through skin

  • Header · not billable
  • Codes take a 7th character

W45 is not billable. The category heads 9 billable codes in FY2027, grouped under 3 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Billable codes
9
Subdivisions
3
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
0

Codes in W45

  1. W45.0
    Nail entering through skin +7th: A D S
    Needs 7th characterExempt
  2. W45.3
    Fishing hook entering through skin +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  3. W45.8
    Other foreign body or object entering through skin +7th: A D S
    Needs 7th character
    Inclusion terms 1

    Inclusion terms

    • Splinter in skin NOS

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At W45

Includes

  • foreign body or object embedded in skin
  • nail embedded in skin

Excludes2

  • contact with hand tools (nonpowered) (powered) (W27-W29) W27 W29
  • contact with other sharp object(s) (W26.-) W26
  • contact with sharp glass (W25.-) W25
  • struck by objects (W20-W22) W20 W22

Notes that also apply

Block W20-W49 instructions (Excludes1 4): printed on the block page.

Chapter 20 instructions (Notes 1): printed on the chapter 20 page.

7th characters

7th characters for W45 defined here

The appropriate 7th character is to be added to each code from category W45

7th characters for W45
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Hierarchy