2024 ICD-10-CM Diagnosis Code W46.1XXA

Contact with contaminated hypodermic needle, initial encounter

ICD-10-CM Code:
W46.1XXA
ICD-10 Code for:
Contact with contaminated hypodermic needle, init encntr
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 hypodermic needle
        (W46)

W46.1XXA is a billable diagnosis code used to specify a medical diagnosis of contact with contaminated hypodermic needle, initial 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.

W46.1XXA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like contact with contaminated hypodermic needle. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Approximate Synonyms

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

  • Exposure to body fluid due to accidental needle stick injury
  • Injury due to assault with used injection needle
  • Traumatic injury due to assault

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: cut/pierce; initial encounterEXT001X - Not applicable.X - Not applicable.
External cause codes: intent of injury, accidental/unintentionalEXT020X - Not applicable.X - Not applicable.

Convert W46.1XXA to ICD-9-CM

  • ICD-9-CM Code: E920.5 - Acc-hypodermic needle
    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.

Patient Education


Occupational Health for Health Care Providers

Health care workers are exposed to many job hazards. These can include :

  • Infections
  • Needle injuries
  • Back injuries
  • Allergy-causing substances
  • Violence
  • Stress

Follow good job safety and injury prevention practices. They can reduce your risk of health problems. Use protective equipment, follow infection control guidelines, learn the right way to lift heavy objects, and find ways to manage stress.

National Institute for Occupational Safety and Health


[Learn More in MedlinePlus]

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.