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W13Non-billableSave

W13 - Fall from, out of or through building or structure

ICD-10-CM Chapter 20: External causes of morbidity · W00-W19 Slipping, tripping, stumbling and falls (W00-W19) · Top-level category · FY2027

Coding Guidance

W13 is a non-billable heading. Report one of the 7 more specific codes below.

7th Character

The appropriate 7th character is to be added to each code from category W13

  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom W00-W19 Slipping, tripping, stumbling and falls (W00-W19)

Mutually exclusive: these conditions are never reported together with this code.

  • assault involving a fall (Y01-Y02)
  • fall from animal (V80.-)
  • fall (in) (from) machinery (in operation) (W28-W31)
  • fall (in) (from) transport vehicle (V01-V99)
  • intentional self-harm involving a fall (X80-X81)
Excludes 2 — Not Included HereFrom W00-W19 Slipping, tripping, stumbling and falls (W00-W19)

Not part of this code; report both codes when the patient has both conditions.

  • at risk for fall (history of fall) Z91.81
  • fall (in) (from) burning building (X00.-)
  • fall into fire (X00-X04, X08)
NotesFrom Chapter V00-Y99

Instructional notes from the ICD-10-CM tabular list.

  • 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.

More Specific Codes (7)

W13.0Fall from, out of or through balcony→W13.1Fall from, out of or through bridge→W13.2Fall from, out of or through roof→W13.3Fall through floor→W13.4Fall from, out of or through window→W13.8Fall from, out of or through other building or structure→W13.9Fall from, out of or through building, not otherwise specified→