Exposure to inanimate mechanical forces (W20-W49)
W20Struck by thrown, projected or falling object
Code First: any associated:
› cataclysm (X34-X39)
› lightning strike (T75.00)
Excludes 1: falling object in machinery accident (W24, W28-W31)
› falling object in transport accident (V01-V99)
› object set in motion by explosion (W35-W40)
› object set in motion by firearm (W32-W34)
› struck by thrown sports equipment (W21.-)
The appropriate 7th character is to be added to each code from category W20
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W20.0Struck by falling object in cave-in
Excludes 2: asphyxiation due to cave-in (T71.21)
W20.1Struck by object due to collapse of building
Excludes 1: struck by object due to collapse of burning building (X00.2, X02.2)
W20.8Other cause of strike by thrown, projected or falling object
Excludes 1: struck by thrown sports equipment (W21.-)
W21Striking against or struck by sports equipment
Excludes 1: assault with sports equipment (Y08.0-)
› striking against or struck by sports equipment with subsequent fall (W18.01)
The appropriate 7th character is to be added to each code from category W21
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W21.0Struck by hit or thrown ball
W21.00Struck by hit or thrown ball, unspecified type
W21.01Struck by football
W21.02Struck by soccer ball
W21.03Struck by baseball
W21.04Struck by golf ball
W21.05Struck by basketball
W21.06Struck by volleyball
W21.07Struck by softball
W21.09Struck by other hit or thrown ball
W21.1Struck by bat, racquet or club
W21.11Struck by baseball bat
W21.12Struck by tennis racquet
W21.13Struck by golf club
W21.19Struck by other bat, racquet or club
W21.2Struck by hockey stick or puck
W21.21Struck by hockey stick
W21.210Struck by ice hockey stick
W21.211Struck by field hockey stick
W21.22Struck by hockey puck
W21.220Struck by ice hockey puck
W21.221Struck by field hockey puck
W21.3Struck by sports foot wear
W21.31Struck by shoe cleats
› Stepped on by shoe cleats
W21.32Struck by skate blades
› Skated over by skate blades
W21.39Struck by other sports foot wear
W21.4Striking against diving board
Use Additional Code: code for subsequent falling into water, if applicable (W16.-)
W21.8Striking against or struck by other sports equipment
W21.81Striking against or struck by football helmet
W21.89Striking against or struck by other sports equipment
W21.9Striking against or struck by unspecified sports equipment
W22Striking against or struck by other objects
Excludes 1: striking against or struck by object with subsequent fall (W18.09)
The appropriate 7th character is to be added to each code from category W22
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W22.0Striking against stationary object
Excludes 1: striking against stationary sports equipment (W21.8)
W22.01Walked into wall
W22.02Walked into lamppost
W22.03Walked into furniture
W22.04Striking against wall of swimming pool
W22.041Striking against wall of swimming pool causing drowning and submersion
Excludes 1: drowning and submersion while swimming without striking against wall (W67)
W22.042Striking against wall of swimming pool causing other injury
W22.09Striking against other stationary object
W22.1Striking against or struck by automobile airbag
W22.10Striking against or struck by unspecified automobile airbag
W22.11Striking against or struck by driver side automobile airbag
W22.12Striking against or struck by front passenger side automobile airbag
W22.19Striking against or struck by other automobile airbag
W22.8Striking against or struck by other objects
› Striking against or struck by object NOS
Excludes 1: struck by thrown, projected or falling object (W20.-)
W23Caught, crushed, jammed or pinched in or between objects
Excludes 1: injury caused by cutting or piercing instruments (W25-W27)
› injury caused by firearms malfunction (W32.1, W33.1-, W34.1-)
› injury caused by lifting and transmission devices (W24.-)
› injury caused by machinery (W28-W31)
› injury caused by nonpowered hand tools (W27.-)
› injury caused by transport vehicle being used as a means of transportation (V01-V99)
› injury caused by struck by thrown, projected or falling object (W20.-)
The appropriate 7th character is to be added to each code from category W23
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W23.0Caught, crushed, jammed, or pinched between moving objects
W23.1Caught, crushed, jammed, or pinched between stationary objects
W23.2Caught, crushed, jammed or pinched between a moving and stationary object
W24Contact with lifting and transmission devices, not elsewhere classified
Excludes 1: transport accidents (V01-V99)
The appropriate 7th character is to be added to each code from category W24
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W24.0Contact with lifting devices, not elsewhere classified
› Contact with chain hoist
› Contact with drive belt
› Contact with pulley (block)
W24.1Contact with transmission devices, not elsewhere classified
› Contact with transmission belt or cable
W25Contact with sharp glass
Code First: any associated:
› injury due to flying glass from explosion or firearm discharge (W32-W40)
› transport accident (V00-V99)
Excludes 1: fall on same level due to slipping, tripping and stumbling with subsequent striking against sharp glass (W01.110-)
› striking against sharp glass with subsequent fall (W18.02-)
Excludes 2: glass embedded in skin (W45.-)
The appropriate 7th character is to be added to code W25
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W26Contact with other sharp objects
Excludes 2: sharp object(s) embedded in skin (W45.-)
The appropriate 7th character is to be added to each code from category W26
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W26.0Contact with knife
Excludes 1: contact with electric knife (W29.1)
W26.1Contact with sword or dagger
W26.2Contact with edge of stiff paper
› Paper cut
W26.8Contact with other sharp object(s), not elsewhere classified
› Contact with tin can lid
W26.9Contact with unspecified sharp object(s)
W27Contact with nonpowered hand tool
The appropriate 7th character is to be added to each code from category W27
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W27.0Contact with workbench tool
› Contact with auger
› Contact with axe
› Contact with chisel
› Contact with handsaw
› Contact with screwdriver
W27.1Contact with garden tool
› Contact with hoe
› Contact with nonpowered lawn mower
› Contact with pitchfork
› Contact with rake
W27.2Contact with scissors
W27.3Contact with needle (sewing)
Excludes 1: contact with hypodermic needle (W46.-)
W27.4Contact with kitchen utensil
› Contact with fork
› Contact with ice-pick
› Contact with can-opener NOS
W27.5Contact with paper-cutter
W27.8Contact with other nonpowered hand tool
› Contact with nonpowered sewing machine
› Contact with shovel
W28Contact with powered lawn mower
› Powered lawn mower (commercial) (residential)
Excludes 1: contact with nonpowered lawn mower (W27.1)
Excludes 2: exposure to electric current (W86.-)
The appropriate 7th character is to be added to code W28
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W29Contact with other powered hand tools and household machinery
Excludes 1: contact with commercial machinery (W31.82)
› contact with hot household appliance (X15)
› contact with nonpowered hand tool (W27.-)
› exposure to electric current (W86)
The appropriate 7th character is to be added to each code from category W29
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W29.0Contact with powered kitchen appliance
› Contact with blender
› Contact with can-opener
› Contact with garbage disposal
› Contact with mixer
W29.1Contact with electric knife
W29.2Contact with other powered household machinery
› Contact with electric fan
› Contact with powered dryer (clothes) (powered) (spin)
› Contact with washing-machine
› Contact with sewing machine
W29.3Contact with powered garden and outdoor hand tools and machinery
› Contact with chainsaw
› Contact with edger
› Contact with garden cultivator (tiller)
› Contact with hedge trimmer
› Contact with other powered garden tool
Excludes 1: contact with powered lawn mower (W28)
W29.4Contact with nail gun
W29.8Contact with other powered hand tools and household machinery
› Contact with do-it-yourself tool NOS
W30Contact with agricultural machinery
Includes: animal-powered farm machine
Excludes 1: agricultural transport vehicle accident (V01-V99)
› explosion of grain store (W40.8)
› exposure to electric current (W86.-)
The appropriate 7th character is to be added to each code from category W30
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W30.0Contact with combine harvester
› Contact with reaper
› Contact with thresher
W30.1Contact with power take-off devices (PTO)
W30.2Contact with hay derrick
W30.3Contact with grain storage elevator
Excludes 1: explosion of grain store (W40.8)
W30.8Contact with other specified agricultural machinery
W30.81Contact with agricultural transport vehicle in stationary use
› Contact with agricultural transport vehicle under repair, not on public roadway
Excludes 1: agricultural transport vehicle accident (V01-V99)
W30.89Contact with other specified agricultural machinery
W30.9Contact with unspecified agricultural machinery
› Contact with farm machinery NOS
W31Contact with other and unspecified machinery
Excludes 1: contact with agricultural machinery (W30.-)
› contact with machinery in transport under own power or being towed by a vehicle (V01-V99)
› exposure to electric current (W86)
The appropriate 7th character is to be added to each code from category W31
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W31.0Contact with mining and earth-drilling machinery
› Contact with bore or drill (land) (seabed)
› Contact with shaft hoist
› Contact with shaft lift
› Contact with undercutter
W31.1Contact with metalworking machines
› Contact with abrasive wheel
› Contact with forging machine
› Contact with lathe
› Contact with mechanical shears
› Contact with metal drilling machine
› Contact with milling machine
› Contact with power press
› Contact with rolling-mill
› Contact with metal sawing machine
W31.2Contact with powered woodworking and forming machines
› Contact with band saw
› Contact with bench saw
› Contact with circular saw
› Contact with molding machine
› Contact with overhead plane
› Contact with powered saw
› Contact with radial saw
› Contact with sander
Excludes 1: nonpowered woodworking tools (W27.0)
W31.3Contact with prime movers
› Contact with gas turbine
› Contact with internal combustion engine
› Contact with steam engine
› Contact with water driven turbine
W31.8Contact with other specified machinery
W31.81Contact with recreational machinery
› Contact with roller coaster
W31.82Contact with other commercial machinery
› Contact with commercial electric fan
› Contact with commercial kitchen appliances
› Contact with commercial powered dryer (clothes) (powered) (spin)
› Contact with commercial washing-machine
› Contact with commercial sewing machine
Excludes 1: contact with household machinery (W29.-)
› contact with powered lawn mower (W28)
W31.83Contact with special construction vehicle in stationary use
› Contact with special construction vehicle under repair, not on public roadway
Excludes 1: special construction vehicle accident (V01-V99)
W31.89Contact with other specified machinery
W31.9Contact with unspecified machinery
› Contact with machinery NOS
W32Accidental handgun discharge and malfunction
Includes: accidental discharge and malfunction of gun for single hand use
› accidental discharge and malfunction of pistol
› accidental discharge and malfunction of revolver
› Handgun discharge and malfunction NOS
Excludes 1: accidental airgun discharge and malfunction (W34.010, W34.110)
› accidental BB gun discharge and malfunction (W34.010, W34.110)
› accidental pellet gun discharge and malfunction (W34.010, W34.110)
› accidental shotgun discharge and malfunction (W33.01, W33.11)
› assault by handgun discharge (X93)
› handgun discharge involving legal intervention (Y35.0-)
› handgun discharge involving military or war operations (Y36.4-)
› intentional self-harm by handgun discharge (X72)
› Very pistol discharge and malfunction (W34.09, W34.19)
The appropriate 7th character is to be added to each code from category W32
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W32.0Accidental handgun discharge
W32.1Accidental handgun malfunction
› Injury due to explosion of handgun (parts)
› Injury due to malfunction of mechanism or component of handgun
› Injury due to recoil of handgun
› Powder burn from handgun
W33Accidental rifle, shotgun and larger firearm discharge and malfunction
Includes: rifle, shotgun and larger firearm discharge and malfunction NOS
Excludes 1: accidental airgun discharge and malfunction (W34.010, W34.110)
› accidental BB gun discharge and malfunction (W34.010, W34.110)
› accidental handgun discharge and malfunction (W32.-)
› accidental pellet gun discharge and malfunction (W34.010, W34.110)
› assault by rifle, shotgun and larger firearm discharge (X94)
› firearm discharge involving legal intervention (Y35.0-)
› firearm discharge involving military or war operations (Y36.4-)
› intentional self-harm by rifle, shotgun and larger firearm discharge (X73)
The appropriate 7th character is to be added to each code from category W33
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W33.0Accidental rifle, shotgun and larger firearm discharge
W33.00Accidental discharge of unspecified larger firearm
› Discharge of unspecified larger firearm NOS
W33.01Accidental discharge of shotgun
› Discharge of shotgun NOS
W33.02Accidental discharge of hunting rifle
› Discharge of hunting rifle NOS
W33.03Accidental discharge of machine gun
› Discharge of machine gun NOS
W33.09Accidental discharge of other larger firearm
› Discharge of other larger firearm NOS
W33.1Accidental rifle, shotgun and larger firearm malfunction
› Injury due to explosion of rifle, shotgun and larger firearm (parts)
› Injury due to malfunction of mechanism or component of rifle, shotgun and larger firearm
› Injury due to piercing, cutting, crushing or pinching due to (by) slide trigger mechanism, scope or other gun part
› Injury due to recoil of rifle, shotgun and larger firearm
› Powder burn from rifle, shotgun and larger firearm
W33.10Accidental malfunction of unspecified larger firearm
› Malfunction of unspecified larger firearm NOS
W33.11Accidental malfunction of shotgun
› Malfunction of shotgun NOS
W33.12Accidental malfunction of hunting rifle
› Malfunction of hunting rifle NOS
W33.13Accidental malfunction of machine gun
› Malfunction of machine gun NOS
W33.19Accidental malfunction of other larger firearm
› Malfunction of other larger firearm NOS
W34Accidental discharge and malfunction from other and unspecified firearms and guns
The appropriate 7th character is to be added to each code from category W34
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W34.0Accidental discharge from other and unspecified firearms and guns
W34.00Accidental discharge from unspecified firearms or gun
› Discharge from firearm NOS
› Gunshot wound NOS
› Shot NOS
W34.01Accidental discharge of gas, air or spring-operated guns
W34.010Accidental discharge of airgun
› Accidental discharge of BB gun
› Accidental discharge of pellet gun
W34.011Accidental discharge of paintball gun
› Accidental injury due to paintball discharge
W34.018Accidental discharge of other gas, air or spring-operated gun
W34.09Accidental discharge from other specified firearms
› Accidental discharge from Very pistol [flare]
W34.1Accidental malfunction from other and unspecified firearms and guns
W34.10Accidental malfunction from unspecified firearms or gun
› Firearm malfunction NOS
W34.11Accidental malfunction of gas, air or spring-operated guns
W34.110Accidental malfunction of airgun
› Accidental malfunction of BB gun
› Accidental malfunction of pellet gun
W34.111Accidental malfunction of paintball gun
› Accidental injury due to paintball gun malfunction
W34.118Accidental malfunction of other gas, air or spring-operated gun
W34.19Accidental malfunction from other specified firearms
› Accidental malfunction from Very pistol [flare]
W35Explosion and rupture of boiler
Excludes 1: explosion and rupture of boiler on watercraft (V93.4)
The appropriate 7th character is to be added to code W35
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W36Explosion and rupture of gas cylinder
The appropriate 7th character is to be added to each code from category W36
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W36.1Explosion and rupture of aerosol can
W36.2Explosion and rupture of air tank
W36.3Explosion and rupture of pressurized-gas tank
W36.8Explosion and rupture of other gas cylinder
W36.9Explosion and rupture of unspecified gas cylinder
W37Explosion and rupture of pressurized tire, pipe or hose
The appropriate 7th character is to be added to each code from category W37
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W37.0Explosion of bicycle tire
W37.8Explosion and rupture of other pressurized tire, pipe or hose
W38Explosion and rupture of other specified pressurized devices
The appropriate 7th character is to be added to code W38
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W39Discharge of firework
The appropriate 7th character is to be added to code W39
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W40Explosion of other materials
Excludes 1: assault by explosive material (X96)
› explosion involving legal intervention (Y35.1-)
› explosion involving military or war operations (Y36.0-, Y36.2-)
› intentional self-harm by explosive material (X75)
The appropriate 7th character is to be added to each code from category W40
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W40.0Explosion of blasting material
› Explosion of blasting cap
› Explosion of detonator
› Explosion of dynamite
› Explosion of explosive (any) used in blasting operations
W40.1Explosion of explosive gases
› Explosion of acetylene
› Explosion of butane
› Explosion of coal gas
› Explosion in mine NOS
› Explosion of explosive gas
› Explosion of fire damp
› Explosion of gasoline fumes
› Explosion of methane
› Explosion of propane
W40.8Explosion of other specified explosive materials
› Explosion in dump NOS
› Explosion in factory NOS
› Explosion in grain store
› Explosion in munitions
Excludes 1: explosion involving legal intervention (Y35.1-)
› explosion involving military or war operations (Y36.0-, Y36.2-)
W40.9Explosion of unspecified explosive materials
› Explosion NOS
W42Exposure to noise
The appropriate 7th character is to be added to each code from category W42
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W42.0Exposure to supersonic waves
W42.9Exposure to other noise
› Exposure to sound waves NOS
W44Foreign body entering into or through a natural orifice
Excludes 2: contact with other sharp objects (W26)
› contact with sharp glass (W25)
› foreign body or object entering through skin (W45)
The appropriate 7th character is to be added to each code from category W44
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W44.ABattery entering into or through a natural orifice
W44.A0Battery unspecified, entering into or through a natural orifice
W44.A1Button battery entering into or through a natural orifice
W44.A9Other batteries entering into or through a natural orifice
› Cylindrical battery
W44.BPlastic entering into or through a natural orifice
W44.B0Plastic object unspecified, entering into or through a natural orifice
W44.B1Plastic bead entering into or through a natural orifice
Excludes 2: Plastic jewelry entering into or through a natural orifice (W44.B4)
W44.B2Plastic coin entering into or through a natural orifice
W44.B3Plastic toy and toy part entering into or through a natural orifice
W44.B4Plastic jewelry entering into or through a natural orifice
Excludes 2: Plastic bead entering into or through a natural orifice (W44.B1)
W44.B5Plastic bottle entering into or through a natural orifice
W44.B9Other plastic object entering into or through a natural orifice
W44.CGlass entering into or through a natural orifice
W44.C0Glass unspecified, entering into or through a natural orifice
W44.C1Sharp glass entering into or through a natural orifice
› Glass shard entering into or through a natural orifice
W44.C2Intact glass entering into or through a natural orifice
› Intact glass bottle entering into or through a natural orifice
W44.DMagnetic metal entering into or through a natural orifice
W44.D0Magnetic metal object unspecified, entering into or through a natural orifice
W44.D1Magnetic metal bead entering into or through a natural orifice
W44.D2Magnetic metal coin entering into or through a natural orifice
W44.D3Magnetic metal toy entering into or through a natural orifice
W44.D4Magnetic metal jewelry entering into or through a natural orifice
W44.D9Other magnetic metal objects entering into or through a natural orifice
W44.ENon-magnetic metal entering into or through a natural orifice
W44.E0Non-magnetic metal object unspecified, entering into or through a natural orifice
W44.E1Non-magnetic metal bead entering into or through a natural orifice
W44.E2Non-magnetic metal coin entering into or through a natural orifice
W44.E3Non-magnetic metal toy entering into or through a natural orifice
W44.E4Non-magnetic metal jewelry entering into or through a natural orifice
W44.E9Other non-magnetic metal objects entering into or through a natural orifice
› Bottle cap entering into or through a natural orifice
› Can lid entering into or through a natural orifice
› Pull tab entering into or through a natural orifice
W44.FObjects of natural or organic material entering into or through a natural orifice
W44.F0Objects of natural or organic material unspecified, entering into or through a natural orifice
W44.F1Bezoar entering into or through a natural orifice
W44.F2Rubber band entering into or through a natural orifice
W44.F3Food entering into or through a natural orifice
W44.F4Insect entering into or through a natural orifice
W44.F9Other object of natural or organic material, entering into or through a natural orifice
W44.GOther non-organic objects entering into or through a natural orifice
W44.G0Other non-organic objects unspecified, entering into or through a natural orifice
W44.G1Audio device entering into or through a natural orifice
› Ear buds
› Hearing aids
W44.G2Combination metal and plastic toy and toy part entering into or through natural orifice
W44.G3Combination metal and plastic jewelry entering into or through a natural orifice
W44.G9Other non-organic objects entering into or through a natural orifice
W44.HOther sharp object entering into or through a natural orifice
W44.H0Other sharp object unspecified, entering into or through a natural orifice
W44.H1Needle entering into or through a natural orifice
› 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
W44.H2Knife, sword or dagger entering into or through a natural orifice
W44.8Other foreign body entering into or through a natural orifice
W44.9Unspecified foreign body entering into or through a natural orifice
› Foreign body NOS entering into or through a natural orifice
W45Foreign body or object entering through skin
Includes: foreign body or object embedded in skin
› nail embedded in skin
Excludes 2: 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)
The appropriate 7th character is to be added to each code from category W45
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W45.0Nail entering through skin
W45.8Other foreign body or object entering through skin
› Splinter in skin NOS
W46Contact with hypodermic needle
The appropriate 7th character is to be added to each code from category W46
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W46.0Contact with hypodermic needle
› Hypodermic needle stick NOS
W46.1Contact with contaminated hypodermic needle
W49Exposure to other inanimate mechanical forces
Includes: exposure to abnormal gravitational [G] forces
› exposure to inanimate mechanical forces NEC
Excludes 1: exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)
The appropriate 7th character is to be added to each code from category W49
7th Character: A :: initial encounter
› D :: subsequent encounter
› S :: sequela
W49.0Item causing external constriction
W49.01Hair causing external constriction
W49.02String or thread causing external constriction
W49.03Rubber band causing external constriction
W49.04Ring or other jewelry causing external constriction
W49.09Other specified item causing external constriction
W49.9Exposure to other inanimate mechanical forces