{"id":175773,"date":"2026-08-12T12:43:50","date_gmt":"2026-08-12T12:43:50","guid":{"rendered":"https:\/\/pabau.com\/?p=175773"},"modified":"2026-08-12T13:29:48","modified_gmt":"2026-08-12T13:29:48","slug":"icd-10-code-w25xxxd","status":"publish","type":"post","link":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-w25xxxd\/","title":{"rendered":"ICD-10 code W25.XXXD: Sharp glass follow-up coding"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 code W25.XXXD: Sharp glass follow-up coding\",\"description\":\"Reference guide for ICD-10 code W25.XXXD (contact with sharp glass, subsequent encounter). Covers billable status, 7th character logic, sibling codes W25.XXXA and W25.XXXS, the W25 excludes notes, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-w25xxxd\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-02-15\",\"dateModified\":\"2026-08-12\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>W25.XXXD is a billable ICD-10-CM code for contact with sharp glass at a subsequent encounter.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The 7th character D means the patient is back for follow-up care, not active treatment.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Excludes1 sends fall cases elsewhere, to W01.110 for a fall onto glass and W18.02 for a glass strike that causes a fall.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Glass left in the skin sits under an Excludes2 note pointing to W45, not inside W25.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>External cause codes never lead a claim, so W25.XXXD always follows the injury diagnosis.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">Contact with sharp glass doesn&rsquo;t end at the first bandage. The patient comes back for a wound check, and that follow-up visit needs a different code than the injury did. Get the 7th character wrong here, and the claim tells the payer a story that doesn&rsquo;t match the note.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>W25.XXXD<\/strong> is that follow-up code: contact with sharp glass, subsequent encounter. The details below settle whether it&rsquo;s billable, what the excludes notes send elsewhere, and what actually needs to be on the note first.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"ICD-10 Revisions: Stay Updated or Fall Behind\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/bqAyb-BCA0w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-the-code-details-worth-checking-before-you-submit\" class=\"wp-block-heading\">The code details worth checking before you submit<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Here is the short version, in one place. Use it to confirm billable status, the parent code, and the encounter type before the claim goes out.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXD<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Contact with sharp glass, subsequent encounter<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billable and specific<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes, valid for reimbursement<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Fiscal year validity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">FY2026: October 1, 2025 through September 30, 2026<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">External cause of morbidity<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code block<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W20-W49 (contact with inanimate mechanical forces)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Parent code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25 (contact with sharp glass)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">D (subsequent encounter)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Version<\/td>\n<td style=\"padding:12px 16px;color:#374151\">American ICD-10-CM, the US version<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The injury diagnosis always comes first on the claim. A finger cut with glass still in it might be coded <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61223a\/\">S61.223A<\/a> at the emergency visit, with W25.XXXA behind it. At the wound check a week later, both codes move to D.<\/p>\n\n\n\n<h2 id=\"h-the-7th-character-tells-the-payer-which-phase-of-care-you-billed\" class=\"wp-block-heading\">The 7th character tells the payer which phase of care you billed<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every billable W25 code ends in a 7th character, and that character marks the phase of care. It is not a visit counter. Here is what each one signals.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th character<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Encounter type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use it<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">W25.XXXA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active treatment of the glass injury, such as a laceration repair in the emergency department<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">W25.XXXD<\/td>\n<td style=\"padding:12px 16px;color:#374151\">D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up care once active treatment is done, such as suture removal, a wound check, or a dressing change<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">W25.XXXS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Late effects that remain after the injury has healed, such as a scar contracture<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">\u00ab\u00a0Subsequent encounter\u00a0\u00bb does not mean the second visit. It covers any visit for routine care after the active treatment phase closes. A patient who returns three weeks after a repair for suture removal is at a subsequent encounter, even though it is only their second appointment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sequela works differently again. Use S only when you are treating a late effect of the original injury, once healing is finished. The same A, D, and S pattern runs through the rest of the external cause block, so a code like <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-w3183xd\/\">W31.83XD<\/a> follows the same rule.<\/p>\n\n\n\n<h2 id=\"h-use-w25-xxxd-once-active-treatment-is-finished\" class=\"wp-block-heading\">Use W25.XXXD once active treatment is finished<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">W25.XXXD applies whenever a patient comes back for care related to a glass injury after the initial treatment is complete. The <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS ICD-10-CM guidelines<\/a> put cast changes, device removal, medication adjustment, and other aftercare in this group.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In practice the definition is broader than most coders expect. Any visit in the healing phase counts, as long as the provider is not delivering new active treatment for the original wound.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Wound check after an emergency repair:<\/strong> the patient returns to primary care to confirm healing.<\/li>\n\n\n\n<li><strong>Suture removal:<\/strong> stitches placed during the first repair come out at follow-up.<\/li>\n\n\n\n<li><strong>Dressing change:<\/strong> the provider redresses the glass wound at a scheduled visit.<\/li>\n\n\n\n<li><strong>Medication adjustment:<\/strong> antibiotics change because the wound became infected.<\/li>\n\n\n\n<li><strong>Rehabilitation:<\/strong> hand therapy starts once the acute phase is over, which is common in <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy practices<\/a>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">One scenario trips people up. A patient arrives with an actively bleeding glass laceration that needs irrigation and closure. That visit is still an initial encounter, even if another facility saw the wound earlier that day.<\/p>\n\n\n\n<h2 id=\"h-choosing-between-a-d-and-s-in-everyday-cases\" class=\"wp-block-heading\">Choosing between A, D, and S in everyday cases<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">To settle the 7th character, look at what the provider did. The visit count does not decide it. Run the scenarios below against your own notes.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical scenario<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Correct code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Why<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Patient arrives at the emergency department with a glass laceration on the palm and has it repaired<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active treatment for this injury<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Patient returns 10 days later to primary care for suture removal<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXD<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up care, with initial treatment complete<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Patient is seen weekly for dressing changes<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXD<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Every visit in the healing phase keeps the D character<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Patient presents six months later with a thick scar from the glass cut<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Late effect, treated after the wound healed<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Patient is treated at urgent care, then at a second facility the same day for the same wound<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXA at both visits<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Both visits deliver active treatment, so the second one is not a follow-up<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">That last row is the one code lookup pages tend to skip. The 7th character tracks the phase of treatment. A same-day transfer for more active care keeps the A character, so visit number two is not automatically a subsequent encounter.<\/p>\n\n\n\n<h2 id=\"h-w25-needs-a-7th-character-before-it-can-be-billed\" class=\"wp-block-heading\">W25 needs a 7th character before it can be billed<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Knowing where the code sits saves a wrong turn in the tabular list. The <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">CDC ICD-10-CM tool<\/a> shows the same parent-to-child chain:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>V00-Y99:<\/strong> external causes of morbidity, the top-level block<\/li>\n\n\n\n<li><strong>W00-X58:<\/strong> other external causes of accidental injury<\/li>\n\n\n\n<li><strong>W20-W49:<\/strong> contact with inanimate mechanical forces<\/li>\n\n\n\n<li><strong>W25:<\/strong> contact with sharp glass, the parent code<\/li>\n\n\n\n<li><strong>W25.XXXA, W25.XXXD, W25.XXXS:<\/strong> the three billable codes<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">W25 on its own is not billable. It classifies the mechanism, then the 7th character finishes the code. The three X placeholders exist only to push that character into the seventh position, so they are never dropped.<\/p>\n\n\n\n<h2 id=\"h-two-excludes-notes-decide-whether-w25-fits-at-all\" class=\"wp-block-heading\">Two excludes notes decide whether W25 fits at all<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The notes attached to W25 apply to all three of its billable codes. They are the fastest way to catch a case that belongs somewhere else entirely.<\/p>\n\n\n\n<h3 id=\"h-a-fall-in-the-story-points-you-to-w01-110-or-w18-02\" class=\"wp-block-heading\">A fall in the story points you to W01.110 or W18.02<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Excludes1 is the hard note. It means the two codes describe the same event in different ways, so they cannot be reported together. W25 carries two Excludes1 entries, and both involve a fall.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>W01.110:<\/strong> the patient slips, trips, or stumbles, falls, and strikes sharp glass on the way down.<\/li>\n\n\n\n<li><strong>W18.02:<\/strong> the patient strikes sharp glass first, and that strike causes the fall.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">So the order of events picks the code. Direct contact with glass, with no fall in the story, stays with W25. When the note is vague about what came first, query the provider rather than guess.<\/p>\n\n\n\n<h3 id=\"h-glass-left-in-the-skin-belongs-with-w45\" class=\"wp-block-heading\">Glass left in the skin belongs with W45<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">W25 has no Includes note in the tabular list. A foreign body that enters through the skin appears instead as an Excludes2 note pointing to W45.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Excludes2 is the softer note. The condition is not part of W25, but the patient can have both, so both codes may be reported when the record supports each one. A retained fragment removed at a follow-up visit could pair W45 with an injury code such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61441d\/\">S61.441D<\/a>.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Document the exact mechanism in every glass case. \u00ab\u00a0Patient slipped and fell onto a glass table\u00a0\u00bb and \u00ab\u00a0patient reached into broken glass\u00a0\u00bb lead to different codes. A fall that ends in glass contact goes to W01.110, and a glass strike that causes a fall goes to W18.02. Flag ambiguous notes for a provider query before the claim leaves your practice.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-where-w25-xxxd-shows-up-in-everyday-practice\" class=\"wp-block-heading\">Where W25.XXXD shows up in everyday practice<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Glass follow-ups land in more places than the emergency department. The three below cover most of what coders see, and each one leans on what the intake note captured. <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">Digital intake forms<\/a> that ask how the injury happened save a query later.<\/p>\n\n\n\n<h3 id=\"h-primary-care-picks-up-the-wound-check-after-an-emergency-repair\" class=\"wp-block-heading\">Primary care picks up the wound check after an emergency repair<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A patient cuts their hand on broken window glass and has the laceration repaired in the emergency department. A week later they see their family physician for a wound check and suture removal. The emergency visit was coded with W25.XXXA, so the follow-up carries W25.XXXD next to the injury code.<\/p>\n\n\n\n<h3 id=\"h-wound-care-visits-stay-on-d-for-the-whole-recovery\" class=\"wp-block-heading\">Wound care visits stay on D for the whole recovery<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A deep glass laceration to the foot is repaired at urgent care, then followed at a wound care center three times over two weeks. All three visits use W25.XXXD. Active treatment finished at urgent care, and everything after that belongs to the recovery phase.<\/p>\n\n\n\n<h3 id=\"h-therapy-sessions-still-need-the-external-cause-code\" class=\"wp-block-heading\">Therapy sessions still need the external cause code<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">After a glass injury to the dominant hand, a patient is referred for hand therapy to rebuild grip strength. Each session in the recovery phase carries W25.XXXD alongside the wound or functional diagnosis. That pairing matters in <a href=\"https:\/\/pabau.com\/industry\/occupational-therapy-software\/\">occupational therapy practices<\/a>, where the referral note is often the only record of how the injury happened.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-w25xxxd\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s digital intake forms capture the injury mechanism in the patient&rsquo;s own words, so coders can tell glass contact from a fall.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-documentation-that-holds-up-when-the-claim-is-reviewed\" class=\"wp-block-heading\">Documentation that holds up when the claim is reviewed<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The note has to prove two things: glass caused the wound, and this visit is follow-up care. Everything else supports those two facts. Good <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">medical documentation workflows<\/a> make that easy to demonstrate.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Injury mechanism:<\/strong> the note states that contact with sharp glass caused the wound, rather than a fall or blunt force.<\/li>\n\n\n\n<li><strong>Body part:<\/strong> the anatomical site is named, which also supports the companion injury code.<\/li>\n\n\n\n<li><strong>Encounter type:<\/strong> wording such as \u00ab\u00a0returns for wound check after emergency laceration repair\u00a0\u00bb backs up the D character.<\/li>\n\n\n\n<li><strong>Ongoing treatment:<\/strong> any complication, infection management, or therapy referral that explains why care continues.<\/li>\n\n\n\n<li><strong>Prior treatment:<\/strong> a reference to the earlier encounter, ideally with the date, facility, or provider.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The most common audit trigger is a D character on a first-ever visit for the injury. Without documentation of earlier active treatment, that code cannot be supported. Use W25.XXXA until the record clearly establishes a prior treatment episode, and keep the whole trail <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">HIPAA compliant<\/a> while you do it.<\/p>\n\n\n\n<h2 id=\"h-how-to-find-the-code-when-the-note-avoids-the-word-glass\" class=\"wp-block-heading\">How to find the code when the note avoids the word \u00ab\u00a0glass\u00a0\u00bb<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Providers rarely write \u00ab\u00a0contact with sharp glass\u00a0\u00bb. They write what happened. The table below maps common note phrasings to the code they support. Treat it as a search aid, not a list of official index entries. <a href=\"https:\/\/pabau.com\/blog\/why-you-should-keep-client-records-up-to-date\/\">Up-to-date client records<\/a> make that translation much quicker.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">How the note might read<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code to use<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Cut from glass, follow-up visit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXD<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Sharp glass laceration, wound recheck<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXD<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Contact with broken glass, subsequent encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXD<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Glass injury, type of glass not stated<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W25.XXXD<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Glass fragment still in the skin<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W45 for the foreign body, plus W25 if glass contact is documented<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Fell onto glass, or struck glass and then fell<\/td>\n<td style=\"padding:12px 16px;color:#374151\">W01.110 or W18.02, not W25<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">In the alphabetic index, follow \u00ab\u00a0contact\u00a0\u00bb, then \u00ab\u00a0with\u00a0\u00bb, then \u00ab\u00a0glass\u00a0\u00bb to reach W25. The 7th character is never in the index. You take it from the instruction at the top of the W25 category in the tabular list.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Ask reception and clinical staff to record \u00ab\u00a0contact with glass\u00a0\u00bb in the visit reason, instead of \u00ab\u00a0wound check\u00a0\u00bb or \u00ab\u00a0follow-up\u00a0\u00bb. Specific intake wording speeds up code assignment later. It matters most on multi-visit injuries, where the encounter type shifts from A to D after the first repair.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-five-checks-before-you-submit-a-w25-xxxd-claim\" class=\"wp-block-heading\">Five checks before you submit a W25.XXXD claim<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">These come from the denial patterns that follow external cause codes around. Run through them before the claim goes out.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Pair it with a primary diagnosis:<\/strong> external cause codes are secondary only, so a claim led by W25.XXXD gets rejected. The injury code comes first.<\/li>\n\n\n\n<li><strong>Keep D for the whole recovery:<\/strong> every follow-up visit during healing uses it, not only the first one after treatment.<\/li>\n\n\n\n<li><strong>Switch to S for late effects:<\/strong> once the wound has healed and you are treating scarring, move to W25.XXXS. The same logic runs through <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61311s\/\">S61.311S<\/a>.<\/li>\n\n\n\n<li><strong>Do not use D for active care:<\/strong> a second provider treating the wound on the same day still reports W25.XXXA.<\/li>\n\n\n\n<li><strong>Check the fall question every time:<\/strong> if the glass contact involved a fall, W01.110 or W18.02 replaces W25.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">One habit makes all five easier. Read the mechanism sentence before you touch the code. That single line decides the family, the parent code, and the 7th character. Practices with <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">connected patient records<\/a> can see the earlier encounter without chasing another department for it.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-w25xxxd\/comprehensive-emr-patient-record-management.webp\" alt=\"Comprehensive EMR and patient record management\"\/><figcaption class=\"wp-element-caption\"><em>Pabau keeps every visit for one injury in a single client record, so the encounter type is easy to prove at follow-up.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-how-pabau-keeps-the-note-the-code-and-the-claim-together\" class=\"wp-block-heading\">How Pabau keeps the note, the code, and the claim together<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This work is usually split across systems. The wound check is written in one place. The codes are keyed somewhere else. Then the biller rebuilds the story from whatever reached the encounter form.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps all of it on one client record. The appointment, the treatment note, the injury history, and the invoice sit together, so whoever codes the visit is reading the note that produced it. The earlier encounter is one click away when you need to prove the D character.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">From there, Pabau&rsquo;s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> carries the diagnosis codes into the claim and checks the insurer details before submission. Less rekeying means fewer mismatches between what the provider wrote and what the payer receives.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-w25xxxd\/automate-claims-through-healthcode.webp\" alt=\"Automate claims and billing with Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s claims tools pull codes straight from the visit record, so nobody retypes W25.XXXD into a separate billing system.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Keep coding and claims on one record                <\/h3>\n\n                <p class=\"description\">\n                    Pabau links treatment notes, diagnosis codes, and invoices in a single client record. Your team codes each follow-up visit from the note itself, then sends the claim without retyping anything.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management platform for clinical documentation\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Two questions settle almost every glass case. What did the glass do, and what did today&rsquo;s visit do? The first answer decides between W25, W01.110, and W18.02. The second picks the 7th character.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Build that into the note rather than the coding step. When the provider writes how the injury happened and whether this visit is treatment or recovery, W25.XXXD stops being a judgment call. Claims go out with the same story the chart tells, and follow-up visits stop bouncing back.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Clean coding starts with a record your team can read at a glance. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau connects follow-up notes to the claims that come out of them.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding a wound that still holds a fragment?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61441d\/\">S61.441D<\/a> covers the injury code that pairs with a retained foreign body at a follow-up visit.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Not sure when an injury becomes a sequela?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61311s\/\">S61.311S<\/a> shows how the S character works once a laceration has healed.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need another external cause code with a D character?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-w4909xd\/\">W49.09XD<\/a> applies the same subsequent encounter logic to a different mechanism.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing a follow-up for a puncture wound?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s21439d\/\">S21.439D<\/a> walks through documenting a subsequent encounter for a thoracic wound.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want follow-up notes that support the code?<\/strong> Our <a href=\"https:\/\/pabau.com\/templates\/clinical-progress-notes\/\">clinical progress notes<\/a> template gives you a structure that records treatment and recovery separately.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786446793652\"><h3 class=\"schema-faq-question\">Is reporting W25.XXXD mandatory?<\/h3> <p class=\"schema-faq-answer\">ICD-10-CM sets no national requirement to report external cause codes. Plenty of payers, state reporting programs, and workers&rsquo; compensation plans do require them. Check the rule that applies to the claim, then apply it consistently across every injury visit.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786446793653\"><h3 class=\"schema-faq-question\">Do I add place of occurrence and activity codes at a follow-up visit?<\/h3> <p class=\"schema-faq-answer\">No. Place of occurrence, activity, and external cause status codes are reported only at the initial encounter. A subsequent encounter carries W25.XXXD and the injury code, with nothing further from that group.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786446793654\"><h3 class=\"schema-faq-question\">Does W25.XXXD cover glass embedded in the skin?<\/h3> <p class=\"schema-faq-answer\">Not by itself. W25 has no Includes note, and glass entering through the skin sits under an Excludes2 note pointing to W45. Excludes2 allows both codes when the record documents the foreign body and the sharp glass contact.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786446793655\"><h3 class=\"schema-faq-question\">Where does W25.XXXD go on the claim?<\/h3> <p class=\"schema-faq-answer\">Behind the injury diagnosis. External cause codes are secondary, so W25.XXXD never holds the first-listed position. List the laceration or wound code first, then W25.XXXD as an additional diagnosis.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786446793656\"><h3 class=\"schema-faq-question\">Does W25.XXXD affect what the visit pays?<\/h3> <p class=\"schema-faq-answer\">No. External cause codes carry no payment of their own. They explain the injury behind the claim, which matters most when a liability carrier or a workers&rsquo; compensation plan picks up the bill.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>W25.XXXD covers a sharp glass injury at a follow-up visit, after active treatment ends. Read more on 7th characters and excludes notes.<\/p>\n","protected":false},"author":85,"featured_media":175771,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"82","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1549,1550],"tags":[],"class_list":["post-175773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnostic-codes","category-icd-10-cm"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.3 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>ICD-10 code W25.XXXD: Sharp glass follow-up coding<\/title>\n<meta name=\"description\" content=\"W25.XXXD covers a sharp glass injury at a follow-up visit, after active treatment ends. 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Check the rule that applies to the claim, then apply it consistently across every injury visit.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-w25xxxd\\\/#faq-question-1786446793653\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-w25xxxd\\\/#faq-question-1786446793653\",\"name\":\"Do I add place of occurrence and activity codes at a follow-up visit?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. Place of occurrence, activity, and external cause status codes are reported only at the initial encounter. 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Check the rule that applies to the claim, then apply it consistently across every injury visit.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-w25xxxd\/#faq-question-1786446793653","position":2,"url":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-w25xxxd\/#faq-question-1786446793653","name":"Do I add place of occurrence and activity codes at a follow-up visit?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. Place of occurrence, activity, and external cause status codes are reported only at the initial encounter. A subsequent encounter carries W25.XXXD and the injury code, with nothing further from that group.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-w25xxxd\/#faq-question-1786446793654","position":3,"url":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-w25xxxd\/#faq-question-1786446793654","name":"Does W25.XXXD cover glass embedded in the skin?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Not by itself. W25 has no Includes note, and glass entering through the skin sits under an Excludes2 note pointing to W45. Excludes2 allows both codes when the record documents the foreign body and the sharp glass contact.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-w25xxxd\/#faq-question-1786446793655","position":4,"url":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-w25xxxd\/#faq-question-1786446793655","name":"Where does W25.XXXD go on the claim?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Behind the injury diagnosis. External cause codes are secondary, so W25.XXXD never holds the first-listed position. 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