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

ICD-10 W56.41XA

Billable / Specific

Bitten by shark, initial encounter

W56
Block
0
Synonyms
4
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM W56.41XA

ICD-10-CM code W56.41XA represents Bitten by shark, initial encounter. This is a billable/specific code in the External Causes of Morbidity chapter (block W56). The 2026 edition of ICD-10-CM W56.41XA became effective on October 1, 2025.

Medicare LCD Coverage for W56.41XA

Local Coverage Determinations (LCDs) from CMS MACs that list W56.41XA as a covered diagnosis.

4 LCDs

Showing top 4. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Tetanus Immunization
Article ID: 58873, Effective: 2025-10-01 00:00:00, 3644 covered, 0 non-covered
CPT 90715 →
CMS LCD: Billing and Coding: Tetanus Immunization
Article ID: 58873, Effective: 2025-10-01 00:00:00, 3644 covered, 0 non-covered
CPT 90714 →
CMS LCD: Billing and Coding: Tetanus Immunization
Article ID: 58872, Effective: 2025-10-01 00:00:00, 3644 covered, 0 non-covered
CPT 90715 →
CMS LCD: Billing and Coding: Tetanus Immunization
Article ID: 58872, Effective: 2025-10-01 00:00:00, 3644 covered, 0 non-covered
CPT 90714 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing W56.41XA.

2 policies

2 Medicare

Billing and Coding: Tetanus Immunization
Policy ID: ART-58872
Billing and Coding: Tetanus Immunization
Policy ID: ART-58873

CPT Codes Commonly Billed with W56.41XA

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

No procedure linkages on file for W56.41XA

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.

Convert W56.41XA to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
W56.41XA E9063 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 W56.41XA, Billing FAQ

Is ICD-10 code W56.41XA billable? +

Yes, W56.41XA is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does W56.41XA map to? +

Per CMS GEMs, W56.41XA maps to ICD-9 codes: E9063. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on April 19, 2026.

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