October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

W27 Contact with nonpowered hand tool

All 21 codes in the W27 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

21

Can lead a claim

0

Cannot lead a claim

21

What CMS assigns to W27

None of the 21 codes is assigned a clinical group. None of the 21 is assigned a comorbidity subgroup. None can lead a claim.

Every code in W27

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W27.0 Contact with workbench tool
W27.0XXAContact with workbench tool, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.0XXDContact with workbench tool, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.0XXSContact with workbench tool, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.1 Contact with garden tool
W27.1XXAContact with garden tool, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.1XXDContact with garden tool, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.1XXSContact with garden tool, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.2 Contact with scissors
W27.2XXAContact with scissors, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.2XXDContact with scissors, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.2XXSContact with scissors, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.3 Contact with needle (sewing)
W27.3XXAContact with needle (sewing), initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.3XXDContact with needle (sewing), subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.3XXSContact with needle (sewing), sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.4 Contact with kitchen utensil
W27.4XXAContact with kitchen utensil, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.4XXDContact with kitchen utensil, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.4XXSContact with kitchen utensil, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.5 Contact with paper-cutter
W27.5XXAContact with paper-cutter, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.5XXDContact with paper-cutter, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.5XXSContact with paper-cutter, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.8 Contact with other nonpowered hand tool
W27.8XXAContact with other nonpowered hand tool, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.8XXDContact with other nonpowered hand tool, subsequent encounterCMS: Contact with other nonpowered hand tool, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W27.8XXSContact with other nonpowered hand tool, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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