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W20 ICD-10-CM Code: Struck by thrown, projected or falling object

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FY 2026 Apr update / External causes of morbidity (V00-Y99) / Exposure to inanimate mechanical forces (W20-W49)

W20

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Struck by thrown, projected or falling object

Struck by thrown, projected or falling object

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
W2Exposure to inanimate mechanical forces (W20-W49)
W20Struck by thrown, projected or falling object

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for W20 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for W20 in this effective period.

Related Child Codes

Official
W20.0Struck by falling object in cave-in
W20.1Struck by object due to collapse of building
W20.8Other cause of strike by thrown, projected or falling object

Includes

Official

ICD-10-CM does not list Includes notes for W20 in this effective period.

Excludes 1

Official
  • falling object in machinery accident (W24, W28-W31)
  • falling object in transport accident (V01-V99)
  • object set in motion by explosion (W35-W40)
  • object set in motion by firearm (W32-W34)
  • struck by thrown sports equipment (W21.-)

Code First

Official
  • any associated:
  • cataclysm (X34-X39)
  • lightning strike (T75.00)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for W20 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for W20 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

W20 is the ICD-10-CM diagnosis code for struck by thrown, projected or falling object. W20 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering exposure to inanimate mechanical forces (w20-w49).

Header codes like W20 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at W20's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for W20 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • falling object in machinery accident (W24, W28-W31)
  • falling object in transport accident (V01-V99)
  • object set in motion by explosion (W35-W40)
  • object set in motion by firearm (W32-W34)
  • struck by thrown sports equipment (W21.-)

Code First

Child Codes

Code Hierarchy

W20Struck by thrown, projected or falling object
W20Struck by thrown, projected or falling object

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