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

W49 Exposure to other inanimate mechanical forces

All 18 codes in the W49 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

18

Can lead a claim

0

Cannot lead a claim

18

What CMS assigns to W49

None of the 18 codes is assigned a clinical group. None of the 18 is assigned a comorbidity subgroup. None can lead a claim.

Every code in W49

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W49.0 Item causing external constriction
W49.01 Hair causing external constriction
W49.01XAHair causing external constriction, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.01XDHair causing external constriction, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.01XSHair causing external constriction, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.02 String or thread causing external constriction
W49.02XAString or thread causing external constriction, initial encounterCMS: String or thread causing external constriction, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.02XDString or thread causing external constriction, subsequent encounterCMS: String or thread causing external constriction, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.02XSString or thread causing external constriction, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.03 Rubber band causing external constriction
W49.03XARubber band causing external constriction, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.03XDRubber band causing external constriction, subsequent encounterCMS: Rubber band causing external constriction, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.03XSRubber band causing external constriction, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.04 Ring or other jewelry causing external constriction
W49.04XARing or other jewelry causing external constriction, initial encounterCMS: Ring or oth jewelry causing external constriction, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.04XDRing or other jewelry causing external constriction, subsequent encounterCMS: Ring or oth jewelry causing external constriction, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.04XSRing or other jewelry causing external constriction, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.09 Other specified item causing external constriction
W49.09XAOther specified item causing external constriction, initial encounterCMS: Oth item causing external constriction, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.09XDOther specified item causing external constriction, subsequent encounterCMS: Oth item causing external constriction, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.09XSOther specified item causing external constriction, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.9 Exposure to other inanimate mechanical forces
W49.9XXAExposure to other inanimate mechanical forces, initial encounterCMS: Exposure to other inanimate mechanical forces, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.9XXDExposure to other inanimate mechanical forces, subsequent encounterCMS: Exposure to other inanimate mechanical forces, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W49.9XXSExposure to other inanimate mechanical forces, 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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