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

W34 Accidental discharge and malfunction from other and unspecified firearms and guns

All 30 codes in the W34 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 W34

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 W34

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W34.0 Accidental discharge from other and unspecified firearms and guns
W34.00 Accidental discharge from unspecified firearms or gun
W34.00XAAccidental discharge from unspecified firearms or gun, initial encounterCMS: Accidental discharge from unsp firearms or gun, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.00XDAccidental discharge from unspecified firearms or gun, subsequent encounterCMS: Accidental discharge from unsp firearms or gun, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.00XSAccidental discharge from unspecified firearms or gun, sequelaCMS: Accidental discharge from unsp firearms or gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.01 Accidental discharge of gas, air or spring-operated guns
W34.010 Accidental discharge of airgun
W34.010AAccidental discharge of airgun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.010DAccidental discharge of airgun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.010SAccidental discharge of airgun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.011 Accidental discharge of paintball gun
W34.011AAccidental discharge of paintball gun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.011DAccidental discharge of paintball gun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.011SAccidental discharge of paintball gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.018 Accidental discharge of other gas, air or spring-operated gun
W34.018AAccidental discharge of other gas, air or spring-operated gun, initial encounterCMS: Accidental discharge of gas, air or sprng-op gun, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.018DAccidental discharge of other gas, air or spring-operated gun, subsequent encounterCMS: Accidental discharge of gas, air or sprng-op gun, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.018SAccidental discharge of other gas, air or spring-operated gun, sequelaCMS: Accidental discharge of gas, air or sprng-op gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.09 Accidental discharge from other specified firearms
W34.09XAAccidental discharge from other specified firearms, initial encounterCMS: Accidental discharge from oth firearms, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.09XDAccidental discharge from other specified firearms, subsequent encounterCMS: Accidental discharge from oth firearms, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.09XSAccidental discharge from other specified firearms, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.1 Accidental malfunction from other and unspecified firearms and guns
W34.10 Accidental malfunction from unspecified firearms or gun
W34.10XAAccidental malfunction from unspecified firearms or gun, initial encounterCMS: Accidental malfunction from unsp firearms or gun, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.10XDAccidental malfunction from unspecified firearms or gun, subsequent encounterCMS: Accidental malfunction from unsp firearms or gun, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.10XSAccidental malfunction from unspecified firearms or gun, sequelaCMS: Accidental malfunction from unsp firearms or gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.11 Accidental malfunction of gas, air or spring-operated guns
W34.110 Accidental malfunction of airgun
W34.110AAccidental malfunction of airgun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.110DAccidental malfunction of airgun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.110SAccidental malfunction of airgun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.111 Accidental malfunction of paintball gun
W34.111AAccidental malfunction of paintball gun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.111DAccidental malfunction of paintball gun, subsequent encounterCMS: Accidental malfunction of paintball gun, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.111SAccidental malfunction of paintball gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.118 Accidental malfunction of other gas, air or spring-operated gun
W34.118AAccidental malfunction of other gas, air or spring-operated gun, initial encounterCMS: Accidental malfunction of gas, air or sprng-op gun, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.118DAccidental malfunction of other gas, air or spring-operated gun, subsequent encounterCMS: Accidental malfunction of gas, air or sprng-op gun, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.118SAccidental malfunction of other gas, air or spring-operated gun, sequelaCMS: Accidental malfunction of gas, air or sprng-op gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.19 Accidental malfunction from other specified firearms
W34.19XAAccidental malfunction from other specified firearms, initial encounterCMS: Accidental malfunction from oth firearms, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.19XDAccidental malfunction from other specified firearms, subsequent encounterCMS: Accidental malfunction from oth firearms, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W34.19XSAccidental malfunction from other specified firearms, sequelaCMS: Accidental malfunction from oth firearms, 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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