Is W03.XXXA a billable ICD-10-CM code?

Yes. W03.XXXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does W03.XXXA sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).

What cannot be coded together with W03.XXXA?

W03.XXXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

W03.XXXA

W03.XXXA — Other fall on same level due to collision with another person, initial encounter

Billable / specific codeICD-10-CM

W03.XXXA is a billable, specific ICD-10-CM code for other fall on same level due to collision with another person, initial encounter. It is valid for submission on a claim.

7th character "A" — initial encounter

The appropriate 7th character is to be added to code W03

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.

collision with another person without fall (W51)
crushed or pushed by a crowd or human stampede (W52)
fall involving pedestrian conveyance (V00-V09)
fall due to ice or snow (W00)
fall on same level NOS (W18.30)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Fall due to non-transport collision with other person

Risk adjustment

W03.XXXA does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Related codes at this level

Codes that share W03. If W03.XXXA is not quite right, the correct code is usually one of these.

Questions about W03.XXXA

Is W03.XXXA a billable ICD-10-CM code?: Yes. W03.XXXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does W03.XXXA sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).
What cannot be coded together with W03.XXXA?: W03.XXXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.