Contact with nonpowered hand tool (W27) ICD-10-CM
The W27 code range covers contact with nonpowered hand tool with 29 ICD-10-CM diagnosis codes. 21 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- The appropriate 7th character is to be added to each code from category W27
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter
- D - subsequent encounter
- S - sequela
Codes in the W27 Range 29 codes · 21 billable
- W27 Contact with nonpowered hand toolNon-billable
- W27.0 Contact with workbench toolNon-billable
- W27.0XXA Contact with workbench tool, initial encounter
- W27.0XXD Contact with workbench tool, subsequent encounter
- W27.0XXS Contact with workbench tool, sequela
- W27.1 Contact with garden toolNon-billable
- W27.1XXA Contact with garden tool, initial encounter
- W27.1XXD Contact with garden tool, subsequent encounter
- W27.1XXS Contact with garden tool, sequela
- W27.2 Contact with scissorsNon-billable
- W27.2XXA Contact with scissors, initial encounter
- W27.2XXD Contact with scissors, subsequent encounter
- W27.2XXS Contact with scissors, sequela
- W27.3 Contact with needle (sewing)Non-billable
- W27.3XXA Contact with needle (sewing), initial encounter
- W27.3XXD Contact with needle (sewing), subsequent encounter
- W27.3XXS Contact with needle (sewing), sequela
- W27.4 Contact with kitchen utensilNon-billable
- W27.4XXA Contact with kitchen utensil, initial encounter
- W27.4XXD Contact with kitchen utensil, subsequent encounter
- W27.4XXS Contact with kitchen utensil, sequela
- W27.5 Contact with paper-cutterNon-billable
- W27.5XXA Contact with paper-cutter, initial encounter
- W27.5XXD Contact with paper-cutter, subsequent encounter
- W27.5XXS Contact with paper-cutter, sequela
- W27.8 Contact with other nonpowered hand toolNon-billable
- W27.8XXA Contact with other nonpowered hand tool, initial encounter
- W27.8XXD Contact with other nonpowered hand tool, subsequent encounter
- W27.8XXS Contact with other nonpowered hand tool, sequela
About the W27 Code Range
This group of ICD-10 codes, beginning with W27, specifically documents injuries caused by contact with nonpowered hand tools. These codes are used to classify accidents involving various manual tools such as workbench tools, garden tools, scissors, sewing needles, kitchen utensils, paper-cutters, and other hand-operated implements.
The ICD-10 code for contact with nonpowered hand tool covers a range of injuries from cuts and punctures to needle stick wounds. For example, W27.0XXA details initial encounters with workbench tool injuries, which may include accidents caused by axes, chisels, or hand saws. Similarly, W27.1XXA captures initial injuries related to garden tools like rakes or lawn mowers, while W27.3XXA is used for accidental needle stick injuries from sewing needles or other sharp objects. Each code includes variants for initial, subsequent, and sequela encounters, helping coders accurately document the stage of care. Including synonyms like “accidental needle stick injury” or “accident caused by paper cutter” clarifies the specific scenarios these codes cover. This detailed classification aids healthcare professionals and medical coders in correctly identifying and reporting injuries from diverse nonpowered hand tools.
Questions About This Page
How many billable codes are in the W27 range?
Of the 29 codes in this range, 21 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the W27 range classify?
The range classifies contact with nonpowered hand tool. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
