Contact with other sharp objects (W26)

The ICD-10 code section W26 covers injuries resulting from contact with sharp objects such as knives, swords, stiff paper edges, and other sharp items. These codes specify the type of sharp object involved and the phase of medical care, such as initial, subsequent, or sequela encounters.

This section is used to accurately classify and document injuries caused by sharp objects. For example, subcodes like W26.0XXA refer to initial encounters involving knives, which include common terms like "knife wound" or "penetrating injury by knife." Similarly, codes under W26.1 address injuries from swords or daggers, encompassing various synonyms such as "sword wound" and "injury due to edged weapon." Encounters related to stiff paper edges use W26.2XXA, often linked to "accidents caused by edge of stiff paper," while W26.8 captures injuries from other unclassified sharp objects like tin can lids. The unspecified category, W26.9, includes terms such as "stab wound" or "sharp force injury," covering situations where the exact sharp object isn't noted. These detailed codes assist medical coders and healthcare professionals in selecting the precise ICD-10 code for sharp object injury cases, improving record accuracy and clarity.

Instructional Notations

Type 2 Excludes

A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

  • sharp objects embedded in skin W45

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 W26

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela