Fall ICD-10-CM Codes

What ICD-10 codes are used for fall?

Falls, a common cause of injury, especially in the elderly, have multiple ICD-10-CM codes depending on the specifics of the incident. Here are some often-used Fall ICD codes:

• W00.0XXA - Fall on same level due to ice and snow, initial encounter: Used for falls due to slippery conditions during winter weather.
• W01.10XA - Fall on same level from slipping, tripping and stumbling with subsequent striking against unspecified object, initial encounter: Used for falls by slipping, tripping, and stumbling and hitting an unspecified object immediately after.
• W03.XXXA - Other fall on same level due to collision with another person, initial encounter: Used when a person is confirmed to have fallen due to collision with another person.
• W04.XXXA - Fall while being carried or supported by other persons, initial encounter: Used when a person is confirmed to have fallen while being carried or supported by another person or by several people.
• W05.0XXA - Fall from non-moving wheelchair, initial encounter: Used when a person is confirmed to have fallen from a non-moving wheelchair.
• W06.XXXA - Fall from bed, initial encounter: Used when a person is confirmed to have fallen from a bed.
• W07.XXXA - Fall from chair, initial encounter: Used when a person is confirmed to have fallen from a chair.

These are just some of the common codes you can use. Due note that these are for initial encounters, meaning they are being given active treatment for the problem. For subsequent encounters, replace the A with D in the code. For sequela, replace A or D with S.

Which fall ICD codes are billable?

The billability of these codes depends on the specifics of the patient's case and the insurance provider's policies.

• W00.0XXA - Yes.
• W01.10XA - Yes.
• W03.XXXA - Yes.
• W04.XXXA - Yes.
• W05.0XXA - Yes.
• W06.XXXA - Yes.
• W07.XXXA - Yes.

Clinical information

Falls are incidents that can cause significant injury, especially in elderly individuals, and often lead to hospital visits.

Injuries due to falls can range from minor scrapes and bruises to more severe injuries, such as fractures or head trauma.

Falls can happen anywhere but are particularly common in homes and care facilities. Preventive measures include removing tripping hazards, improving lighting, and maintaining physical fitness.

Synonyms include:

• Tumble
• Trip
• Slip
• Spill
• Misstep
• Person fall
• Steps fall
• Playground equipment fall
• Tree fall
• Structure fall
• Other furniture fall
• Fall as intentional self-harm
• Accidental fall
• Ladder fall
• Scaffolding fall

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