W45.3Non-billableSave

W45.3 - Fishing hook entering through skin

ICD-10-CM Chapter 20: External causes of morbidity · W20-W49 Exposure to inanimate mechanical forces (W20-W49) · Subcategory of W45 · FY2027

Coding Guidance

W45.3 requires a 7th character. Report the code below that matches the documentation, for example A for initial encounter, D for subsequent encounter, S for sequela.

7th Character

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

Includes, Excludes and Coding Notes

IncludesFrom W45

Conditions this code covers.

  • foreign body or object embedded in skin
  • nail embedded in skin
Excludes 2 — Not Included HereFrom W45

Not part of this code; report both codes when the patient has both conditions.

  • contact with hand tools (nonpowered) (powered) (W27-W29)
  • contact with other sharp object(s) (W26.-)
  • contact with sharp glass (W25.-)
  • struck by objects (W20-W22)
Excludes 1 — Not Coded HereFrom W20-W49 Exposure to inanimate mechanical forces (W20-W49)

Mutually exclusive: these conditions are never reported together with this code.

  • assault (X92-Y09)
  • contact or collision with animals or persons (W50-W64)
  • exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)
  • intentional self-harm (X71-X83)
NotesFrom Chapter V00-Y99

Instructional notes from the ICD-10-CM tabular list.

  • This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.