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ICD-10-CM 2027 diagnosis code

W33.03XDAccidental discharge of machine gun, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

W33.03XD is a valid, billable ICD-10-CM code for accidental discharge of machine gun, 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 W33.03XD

W33.03XD is the ICD-10-CM diagnosis code for accidental discharge of machine gun, subsequent encounter. It belongs to category W33 (accidental rifle, shotgun and larger firearm discharge and malfunction), 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 E922.3 (accident caused by military firearms).

7th character

Dsubsequent encounter

Other encounter types for W33.03:

Notes that apply from higher levels

Instructions written at a parent level also apply to W33.03XD.

› From W33 Accidental rifle, shotgun and larger firearm discharge and malfunction
Includes
  • rifle, shotgun and larger firearm discharge and malfunction NOS
Excludes1
  • accidental airgun discharge and malfunction (W34.010, W34.110)
  • accidental BB gun discharge and malfunction (W34.010, W34.110)
  • accidental handgun discharge and malfunction (W32.-)
  • accidental pellet gun discharge and malfunction (W34.010, W34.110)
  • assault by rifle, shotgun and larger firearm discharge (X94)
  • firearm discharge involving legal intervention (Y35.0-)
  • firearm discharge involving military or war operations (Y36.4-)
  • intentional self-harm by rifle, shotgun and larger firearm discharge (X73)

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

ICD-9-CM equivalent

Converter →
  • E922.3Accident caused by military firearmsapproximate

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 W33.03XD

Is W33.03XD billable?

Yes. W33.03XD 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 W33.03XD 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 W33.03XD be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict W33.03XD as a principal diagnosis.

Is W33.03XD a CC or MCC?

No. W33.03XD is neither a CC nor an MCC under MS-DRG v44.0.

What is the ICD-9 code for W33.03XD?

The CMS General Equivalence Mappings map W33.03XD to ICD-9-CM E922.3.