ICDcodes.org
FY2027

W45.0XXSNail entering through skin, sequela

Billable

Is W45.0XXS billable?

Yes — W45.0XXS is billable for FY2027. W45.0XXS is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. W45.0XXS may be submitted for encounters from October 1, 2026 through September 30, 2027.

W45.0XXS at a glance

CodeW45.0XXS
DescriptionNail entering through skin, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in W45.0XXS?

In W45.0XXS, the 7th character S means sequela. The 7th character is required for W45.0XXS to be a valid, complete code.

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

How is W45.0XXS listed in the External Cause Index?

The External Cause of Injuries Index lists these routes under W45.0, the nearest indexed parent of W45.0XXS. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.

  • Nailcontact with
  • Nailembedded in skin
  • Contactwithnail (accidental)
  • Foreign bodyentering throughskinnail

Excludes1 — never code together — inherited from W20-W49

The conditions below can never be reported together with W45.0XXS 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 W45

The conditions below are not part of W45.0XXS, but a patient may have both at the same time. When documentation supports it, W45.0XXS and the excluded code may both be reported.

  • contact with hand tools (nonpowered) (powered) (W27-W29)
  • contact with other sharp object(s) (W26.-)
  • contact with sharp glass (W25.-)
  • struck by objects (W20-W22)

How long has W45.0XXS existed?

W45.0XXS 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.