ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 W20

Non-Billable Header

Struck by thrown, projected or falling object

W20
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM W20

ICD-10-CM code W20 represents Struck by thrown, projected or falling object. This is a non-billable header code in the External Causes of Morbidity chapter (block W20). The 2026 edition of ICD-10-CM W20 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 1 Excludes

Pure excludes, these codes can never be coded together with W20. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • falling object in machinery accident (W24, W28-W31)
  • falling object in transport accident (V01-V99)
  • object set in motion by explosion (W35-W40)
  • object set in motion by firearm (W32-W34)
  • struck by thrown sports equipment (W21.-)

Coding Notes

Code First

  • any associated:
  • cataclysm (X34-X39)
  • lightning strike (T75.00)

Seven Chr Note

  • The appropriate 7th character is to be added to each code from category W20

Medicare LCD Coverage for W20

Local Coverage Determinations (LCDs) from CMS MACs that list W20 as a covered diagnosis.

No Medicare LCDs reference W20 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing W20.

No commercial payer policies reference W20 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but W20 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with W20

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for W20

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 W20, Billing FAQ

Is ICD-10 code W20 billable? +

No, W20 is a non-billable header code. Use a more specific child code from block W20 when submitting claims.

What codes are Type 1 Excludes for W20? +

Type 1 Excludes (never code together with W20): falling object in machinery accident (W24, W28-W31); falling object in transport accident (V01-V99); object set in motion by explosion (W35-W40)

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included