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ICD-10-CM 2027 diagnosis code

W27.5XXDContact with paper-cutter, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

W27.5XXD is a valid, billable ICD-10-CM code for contact with paper-cutter, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About W27.5XXD

W27.5XXD is the ICD-10-CM diagnosis code for contact with paper-cutter, subsequent encounter. It belongs to category W27 (contact with nonpowered hand tool), block W20-W49 (exposure to inanimate mechanical forces) and chapter 20 (external causes of morbidity). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as E920.4 (accidents caused by other hand tools and implements).

7th character

Dsubsequent encounter

Other encounter types for W27.5:

Notes that apply from higher levels

Instructions written at a parent level also apply to W27.5XXD.

Broader instructions also apply from W20-W49 Exposure to inanimate mechanical forces and Chapter 20: External causes of morbidity.

ICD-9-CM equivalent

Converter →
  • E920.4Accidents caused by other hand tools and implementsapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about W27.5XXD

Is W27.5XXD billable?

Yes. W27.5XXD is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of W27.5XXD mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can W27.5XXD be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict W27.5XXD as a principal diagnosis.

Is W27.5XXD a CC or MCC?

No. W27.5XXD is neither a CC nor an MCC under MS-DRG v44.0.

What is the ICD-9 code for W27.5XXD?

The CMS General Equivalence Mappings map W27.5XXD to ICD-9-CM E920.4.