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

W56 Contact with nonvenomous marine animal

All 63 codes in the W56 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

63

Can lead a claim

0

Cannot lead a claim

63

What CMS assigns to W56

None of the 63 codes is assigned a clinical group. None of the 63 is assigned a comorbidity subgroup. None can lead a claim.

Every code in W56

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W56.0 Contact with dolphin
W56.01 Bitten by dolphin
W56.01XABitten by dolphin, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.01XDBitten by dolphin, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.01XSBitten by dolphin, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.02 Struck by dolphin
W56.02XAStruck by dolphin, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.02XDStruck by dolphin, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.02XSStruck by dolphin, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.09 Other contact with dolphin
W56.09XAOther contact with dolphin, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.09XDOther contact with dolphin, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.09XSOther contact with dolphin, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.1 Contact with sea lion
W56.11 Bitten by sea lion
W56.11XABitten by sea lion, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.11XDBitten by sea lion, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.11XSBitten by sea lion, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.12 Struck by sea lion
W56.12XAStruck by sea lion, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.12XDStruck by sea lion, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.12XSStruck by sea lion, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.19 Other contact with sea lion
W56.19XAOther contact with sea lion, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.19XDOther contact with sea lion, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.19XSOther contact with sea lion, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.2 Contact with orca
W56.21 Bitten by orca
W56.21XABitten by orca, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.21XDBitten by orca, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.21XSBitten by orca, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.22 Struck by orca
W56.22XAStruck by orca, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.22XDStruck by orca, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.22XSStruck by orca, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.29 Other contact with orca
W56.29XAOther contact with orca, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.29XDOther contact with orca, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.29XSOther contact with orca, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.3 Contact with other marine mammals
W56.31 Bitten by other marine mammals
W56.31XABitten by other marine mammals, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.31XDBitten by other marine mammals, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.31XSBitten by other marine mammals, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.32 Struck by other marine mammals
W56.32XAStruck by other marine mammals, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.32XDStruck by other marine mammals, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.32XSStruck by other marine mammals, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.39 Other contact with other marine mammals
W56.39XAOther contact with other marine mammals, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.39XDOther contact with other marine mammals, subsequent encounterCMS: Other contact with other marine mammals, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.39XSOther contact with other marine mammals, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.4 Contact with shark
W56.41 Bitten by shark
W56.41XABitten by shark, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.41XDBitten by shark, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.41XSBitten by shark, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.42 Struck by shark
W56.42XAStruck by shark, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.42XDStruck by shark, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.42XSStruck by shark, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.49 Other contact with shark
W56.49XAOther contact with shark, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.49XDOther contact with shark, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.49XSOther contact with shark, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.5 Contact with other fish
W56.51 Bitten by other fish
W56.51XABitten by other fish, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.51XDBitten by other fish, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.51XSBitten by other fish, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.52 Struck by other fish
W56.52XAStruck by other fish, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.52XDStruck by other fish, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.52XSStruck by other fish, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.59 Other contact with other fish
W56.59XAOther contact with other fish, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.59XDOther contact with other fish, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.59XSOther contact with other fish, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.8 Contact with other nonvenomous marine animals
W56.81 Bitten by other nonvenomous marine animals
W56.81XABitten by other nonvenomous marine animals, initial encounterCMS: Bitten by other nonvenomous marine animals, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.81XDBitten by other nonvenomous marine animals, subsequent encounterCMS: Bitten by other nonvenomous marine animals, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.81XSBitten by other nonvenomous marine animals, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.82 Struck by other nonvenomous marine animals
W56.82XAStruck by other nonvenomous marine animals, initial encounterCMS: Struck by other nonvenomous marine animals, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.82XDStruck by other nonvenomous marine animals, subsequent encounterCMS: Struck by other nonvenomous marine animals, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.82XSStruck by other nonvenomous marine animals, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.89 Other contact with other nonvenomous marine animals
W56.89XAOther contact with other nonvenomous marine animals, initial encounterCMS: Oth contact with oth nonvenomous marine animals, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.89XDOther contact with other nonvenomous marine animals, subsequent encounterCMS: Oth contact with oth nonvenomous marine animals, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W56.89XSOther contact with other nonvenomous marine animals, 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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