W60 — Contact with nonvenomous plant thorns and spines and sharp leaves
W60 is a non-billable header ICD-10-CM code for contact with nonvenomous plant thorns and spines and sharp leaves. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to code W60
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Contact with venomous plants (T63.7-)
Risk adjustment
W60 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How W60 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to W60.
- Contact›with›plant thorns, spines, sharp leaves or other mechanisms
- Puncture, puncturing›by›plant thorns, spines, sharp leaves or other mechanisms NEC
Code to one of these instead W60
3 child codes. Green means billable.
Questions about W60
- Is W60 a billable ICD-10-CM code?
- No. W60 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W60 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Exposure to animate mechanical forces (W50-W64).
- What cannot be coded together with W60?
- W60 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.