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

ICD-10 W26

Non-Billable Header

Contact with other sharp objects

W26
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM W26

ICD-10-CM code W26 represents Contact with other sharp objects. This is a non-billable header code in the External Causes of Morbidity chapter (block W26). The 2026 edition of ICD-10-CM W26 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 2 Excludes

Not included here, the excluded code is not part of W26, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • sharp object(s) embedded in skin (W45.-)

Coding Notes

Seven Chr Note

  • The appropriate 7th character is to be added to each code from category W26

Medicare LCD Coverage for W26

Local Coverage Determinations (LCDs) from CMS MACs that list W26 as a covered diagnosis.

No Medicare LCDs reference W26 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 W26.

No commercial payer policies reference W26 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but W26 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with W26

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

No procedure linkages on file for W26

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 W26, Billing FAQ

Is ICD-10 code W26 billable? +

No, W26 is a non-billable header code. Use a more specific child code from block W26 when submitting claims.

What codes are Type 2 Excludes for W26? +

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

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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