W45.0XXD — Nail entering through skin, subsequent encounter
Is W45.0XXD billable?
Yes — W45.0XXD is billable for FY2027. W45.0XXD is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. W45.0XXD may be submitted for encounters from October 1, 2026 through September 30, 2027.
W45.0XXD at a glance
| Code | W45.0XXD |
|---|---|
| Description | Nail entering through skin, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in W45.0XXD?
In W45.0XXD, the 7th character D means subsequent encounter. The 7th character is required for W45.0XXD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
How is W45.0XXD listed in the External Cause Index?
The External Cause of Injuries Index lists these routes under W45.0, the nearest indexed parent of W45.0XXD. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.
- Nail › contact with
- Nail › embedded in skin
- Contact › with › nail (accidental)
- Foreign body › entering through › skin › nail
Excludes1 — never code together — inherited from W20-W49
The conditions below can never be reported together with W45.0XXD on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from W45
The conditions below are not part of W45.0XXD, but a patient may have both at the same time. When documentation supports it, W45.0XXD and the excluded code may both be reported.
How long has W45.0XXD existed?
W45.0XXD has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.