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

W33 Accidental rifle, shotgun and larger firearm discharge and malfunction

All 30 codes in the W33 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

30

Can lead a claim

0

Cannot lead a claim

30

What CMS assigns to W33

None of the 30 codes is assigned a clinical group. None of the 30 is assigned a comorbidity subgroup. None can lead a claim.

Every code in W33

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W33.0 Accidental rifle, shotgun and larger firearm discharge
W33.00 Accidental discharge of unspecified larger firearm
W33.00XAAccidental discharge of unspecified larger firearm, initial encounterCMS: Accidental discharge of unsp larger firearm, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.00XDAccidental discharge of unspecified larger firearm, subsequent encounterCMS: Accidental discharge of unsp larger firearm, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.00XSAccidental discharge of unspecified larger firearm, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.01 Accidental discharge of shotgun
W33.01XAAccidental discharge of shotgun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.01XDAccidental discharge of shotgun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.01XSAccidental discharge of shotgun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.02 Accidental discharge of hunting rifle
W33.02XAAccidental discharge of hunting rifle, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.02XDAccidental discharge of hunting rifle, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.02XSAccidental discharge of hunting rifle, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.03 Accidental discharge of machine gun
W33.03XAAccidental discharge of machine gun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.03XDAccidental discharge of machine gun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.03XSAccidental discharge of machine gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.09 Accidental discharge of other larger firearm
W33.09XAAccidental discharge of other larger firearm, initial encounterCMS: Accidental discharge of other larger firearm, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.09XDAccidental discharge of other larger firearm, subsequent encounterCMS: Accidental discharge of other larger firearm, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.09XSAccidental discharge of other larger firearm, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.1 Accidental rifle, shotgun and larger firearm malfunction
W33.10 Accidental malfunction of unspecified larger firearm
W33.10XAAccidental malfunction of unspecified larger firearm, initial encounterCMS: Accidental malfunction of unsp larger firearm, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.10XDAccidental malfunction of unspecified larger firearm, subsequent encounterCMS: Accidental malfunction of unsp larger firearm, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.10XSAccidental malfunction of unspecified larger firearm, sequelaCMS: Accidental malfunction of unsp larger firearm, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.11 Accidental malfunction of shotgun
W33.11XAAccidental malfunction of shotgun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.11XDAccidental malfunction of shotgun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.11XSAccidental malfunction of shotgun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.12 Accidental malfunction of hunting rifle
W33.12XAAccidental malfunction of hunting rifle, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.12XDAccidental malfunction of hunting rifle, subsequent encounterCMS: Accidental malfunction of hunting rifle, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.12XSAccidental malfunction of hunting rifle, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.13 Accidental malfunction of machine gun
W33.13XAAccidental malfunction of machine gun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.13XDAccidental malfunction of machine gun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.13XSAccidental malfunction of machine gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.19 Accidental malfunction of other larger firearm
W33.19XAAccidental malfunction of other larger firearm, initial encounterCMS: Accidental malfunction of other larger firearm, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.19XDAccidental malfunction of other larger firearm, subsequent encounterCMS: Accidental malfunction of other larger firearm, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W33.19XSAccidental malfunction of other larger firearm, 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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