W01

W01: Fall on same level from slipping, tripping and stumbling

Non-billable headerICD-10-CM

W01 is a non-billable header ICD-10-CM code for fall on same level from slipping, tripping and stumbling. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category W01

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

fall due to bumping (striking) against object (W18.0-)
fall in shower or bathtub (W18.2-)
fall on same level NOS (W18.30)
fall on same level from slipping, tripping and stumbling due to ice or snow (W00.0)
fall off or from toilet (W18.1-)
slipping, tripping and stumbling NOS (W18.40)
slipping, tripping and stumbling without falling (W18.4-)

Includes

Conditions this code covers.

fall on moving sidewalk

Other codes that can never be billed with W01

Their own Excludes1 notes name this code, so the conflict is not listed above.

W18.0Fall due to bumping against object
W25Contact with sharp glass
W25.XXXAContact with sharp glass, initial encounter
W25.XXXDContact with sharp glass, subsequent encounter
W25.XXXSContact with sharp glass, sequela

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead W01

2 child codes. Green means billable.