PAYER READY CREDENTIALING & COMPLIANCE
ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 W25

Non-Billable Header

Contact with sharp glass

W25
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM W25

ICD-10-CM code W25 represents Contact with sharp glass. This is a non-billable header code in the External Causes of Morbidity chapter (block W25). The 2026 edition of ICD-10-CM W25 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 W25. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • fall on same level due to slipping, tripping and stumbling with subsequent striking against sharp glass (W01.110-)
  • striking against sharp glass with subsequent fall (W18.02-)

Type 2 Excludes

Not included here, the excluded code is not part of W25, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • glass embedded in skin (W45.-)

Coding Notes

Code First

  • any associated:
  • injury due to flying glass from explosion or firearm discharge (W32-W40)
  • transport accident (V00-V99)

Seven Chr Note

  • The appropriate 7th character is to be added to code W25

Medicare LCD Coverage for W25

Local Coverage Determinations (LCDs) from CMS MACs that list W25 as a covered diagnosis.

No Medicare LCDs reference W25 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 W25.

No commercial payer policies reference W25 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but W25 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with W25

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

No procedure linkages on file for W25

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 W25, Billing FAQ

Is ICD-10 code W25 billable? +

No, W25 is a non-billable header code. Use a more specific child code from block W25 when submitting claims.

What codes are Type 1 Excludes for W25? +

Type 1 Excludes (never code together with W25): fall on same level due to slipping, tripping and stumbling with subsequent striking against sharp glass (W01.110-); striking against sharp glass with subsequent fall (W18.02-)

What codes are Type 2 Excludes for W25? +

Type 2 Excludes (may be coded together when both conditions exist): glass embedded in skin (W45.-)

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 July 16, 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

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking