ICDcodes.org
FY2027

W44.H1XANeedle entering into or through a natural orifice, initial encounter

Billable

Is W44.H1XA billable?

Yes — W44.H1XA is billable for FY2027. W44.H1XA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. W44.H1XA may be submitted for encounters from October 1, 2026 through September 30, 2027.

W44.H1XA at a glance

CodeW44.H1XA
DescriptionNeedle entering into or through a natural orifice, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in W44.H1XA?

In W44.H1XA, the 7th character A means initial encounter. The 7th character is required for W44.H1XA to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

How is W44.H1XA listed in the External Cause Index?

The External Cause of Injuries Index lists these routes under W44.H1, the nearest indexed parent of W44.H1XA. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.

  • Foreign bodyentering throughnatural orificedart
  • Foreign bodyentering throughnatural orificeneedle
  • Foreign bodyentering throughnatural orificesafety pin

Inclusion terms

Alternative wording in documentation that is classified to W44.H1XA.

  • Dart entering into or through a natural orifice
  • Hypodermic needle entering into or through a natural orifice
  • Safety pin entering into or through a natural orifice
  • Sewing needle entering into or through a natural orifice

Excludes1 — never code together — inherited from W20-W49

The conditions below can never be reported together with W44.H1XA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • 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)

Excludes2 — not included here — inherited from W44

The conditions below are not part of W44.H1XA, but a patient may have both at the same time. When documentation supports it, W44.H1XA and the excluded code may both be reported.

  • contact with other sharp objects (W26)
  • contact with sharp glass (W25)
  • foreign body or object entering through skin (W45)

How long has W44.H1XA existed?

W44.H1XA first appears in FY2024.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.