W21.31XS

Struck by shoe cleats, sequela

FY2027Chapter 20: External causes of morbidity/W20–W49 Exposure to inanimate mechanical forces

BillableComplete code, valid to report

W21.31XS (also written W2131XS) is a billable ICD-10-CM diagnosis code for struck by shoe cleats, sequela. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 72 codes in category W21 (Striking against or struck by sports equipment). Its 7th character, S, means sequela. Its coding notes include 6 Excludes1 entries.

7th character

Category W21 requires a 7th character. W21.31 has only 5 characters, so a placeholder X fills the 6th position.

Assembled code W21.31XS Open code

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

An external cause code is never a principal or first-listed diagnosis. Its 7th character is assigned for each encounter and should match the injury or condition code.

Guidelines I.C.20.a.2; I.C.20.a.6External cause codesRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from W21 Striking against or struck by sports equipment
  • assault with sports equipment (Y08.0-)
  • striking against or struck by sports equipment with subsequent fall (W18.01)
Also from chapter/block level (4 notes)
Inherited from W20–W49 Exposure to inanimate mechanical forces
  • assault (X92-Y09)
  • contact or collision with animals or persons (W50-W64)
  • exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)
  • intentional self-harm (X71-X83)

Inclusion terms

Conditions classified to this code.

Inherited from W21.31 Struck by shoe cleats
  • Stepped on by shoe cleats

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 20 External causes of morbidity
  • This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.