2024 ICD-10-CM Diagnosis Code W27.3XXD

Contact with needle (sewing), subsequent encounter

ICD-10-CM Code:
W27.3XXD
ICD-10 Code for:
Contact with needle (sewing), subsequent encounter
Is Billable?
Yes - Valid for Submission
Code Navigator:

Code Classification

  • External causes of morbidity and mortality
    (V01–Y99)
    • Exposure to inanimate mechanical forces
      (W20-W49)
      • Contact with nonpowered hand tool
        (W27)

W27.3XXD is a billable diagnosis code used to specify a medical diagnosis of contact with needle (sewing), subsequent encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

W27.3XXD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like contact with needle (sewing). According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Accident caused by needle
  • Accident caused by sharp pointed object
  • Accidental needle stick injury
  • Calcinosis following neonatal heel prick injury
  • Needle stick injury of abdomen
  • Needle stick injury of ankle
  • Needle stick injury of axilla
  • Needle stick injury of back
  • Needle stick injury of calf
  • Needle stick injury of cheek
  • Needle stick injury of chest
  • Needle stick injury of dorsum of foot
  • Needle stick injury of dorsum of hand
  • Needle stick injury of ear region
  • Needle stick injury of elbow
  • Needle stick injury of eye region
  • Needle stick injury of face
  • Needle stick injury of face
  • Needle stick injury of face
  • Needle stick injury of finger
  • Needle stick injury of foot
  • Needle stick injury of foot
  • Needle stick injury of foot
  • Needle stick injury of foot
  • Needle stick injury of foot
  • Needle stick injury of forearm
  • Needle stick injury of forehead
  • Needle stick injury of genitalia
  • Needle stick injury of great toe
  • Needle stick injury of groin
  • Needle stick injury of hand
  • Needle stick injury of hand
  • Needle stick injury of hand
  • Needle stick injury of hand
  • Needle stick injury of hand
  • Needle stick injury of head
  • Needle stick injury of head
  • Needle stick injury of head
  • Needle stick injury of head
  • Needle stick injury of head
  • Needle stick injury of head
  • Needle stick injury of head
  • Needle stick injury of head
  • Needle stick injury of head
  • Needle stick injury of heel
  • Needle stick injury of hip
  • Needle stick injury of knee
  • Needle stick injury of lower leg
  • Needle stick injury of mouth
  • Needle stick injury of neck
  • Needle stick injury of neck
  • Needle stick injury of nose
  • Needle stick injury of palm of hand
  • Needle stick injury of pelvic region
  • Needle stick injury of perineum
  • Needle stick injury of shin
  • Needle stick injury of shoulder
  • Needle stick injury of shoulder
  • Needle stick injury of sole of foot
  • Needle stick injury of thigh
  • Needle stick injury of throat
  • Needle stick injury of thumb
  • Needle stick injury of toe
  • Needle stick injury of toe
  • Needle stick injury of trunk
  • Needle stick injury of trunk
  • Needle stick injury of trunk
  • Needle stick injury of trunk
  • Needle stick injury of trunk
  • Needle stick injury of trunk
  • Needle stick injury of trunk
  • Needle stick injury of trunk
  • Needle stick injury of trunk
  • Needle stick injury of upper arm
  • Needle stick injury of wrist
  • Needle stick injury with clean needle
  • Needle stick injury with contaminated needle
  • Needle stick of scalp
  • Open wound foot, plantar
  • Open wound of hand, dorsum
  • Penetrating injury of oral cavity
  • Penetrating wound of abdomen
  • Penetrating wound of neck
  • Penetrating wound of neck
  • Penetrating wound of perineum
  • Puncture wound of abdomen
  • Puncture wound of ankle
  • Puncture wound of axilla
  • Puncture wound of back
  • Puncture wound of calf
  • Puncture wound of cheek
  • Puncture wound of dorsum of foot
  • Puncture wound of dorsum of hand
  • Puncture wound of ear region
  • Puncture wound of elbow
  • Puncture wound of eye region
  • Puncture wound of forearm
  • Puncture wound of forehead
  • Puncture wound of genitalia
  • Puncture wound of great toe
  • Puncture wound of groin
  • Puncture wound of heel
  • Puncture wound of hip
  • Puncture wound of knee
  • Puncture wound of mouth
  • Puncture wound of neck
  • Puncture wound of neck
  • Puncture wound of nose
  • Puncture wound of palm of hand
  • Puncture wound of pelvic region
  • Puncture wound of perineum
  • Puncture wound of scalp
  • Puncture wound of shin
  • Puncture wound of shoulder
  • Puncture wound of shoulder
  • Puncture wound of sole of foot
  • Puncture wound of thigh
  • Puncture wound of throat
  • Puncture wound of thumb
  • Puncture wound of toe
  • Puncture wound of toe
  • Puncture wound of upper arm
  • Puncture wound of wrist
  • Sewing needle in finger
  • Sewing needle in hand
  • Sewing needle in hand
  • Sewing needle wound
  • Sewing needle wound
  • Sewing needle wound

Clinical Classification

Clinical Information

  • Calcinosis Cutis

    pathological deposition of calcium in the skin and subcutaneous tissue. excessive calcification of the skin may be associated with underlying diseases that cause tissue damage (e.g., ehlers-danlos syndrome; pseudoxanthoma elasticum; rothmund-thomson syndrome; and werner syndrome) or that cause abnormal calcium and phosphate metabolism (e.g., calciphylaxis; chronic kidney failure; hyperparathyroidism; and sarcoidosis).

Present on Admission (POA)

W27.3XXD is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert W27.3XXD to ICD-9-CM

  • ICD-9-CM Code: E920.4 - Accid-other hand tools
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.