W12
W12 — Fall on and from scaffolding
Non-billable headerICD-10-CM
W12 is a non-billable header ICD-10-CM code for fall on and from scaffolding. 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 code W12
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
W12 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.
How W12 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to W12.
- Breakage›scaffolding(causing fall)
- Fall, falling›from, off, out of›scaffolding
- Fall, falling›in, on›scaffolding
Code to one of these instead W12
3 child codes. Green means billable.
Questions about W12
- Is W12 a billable ICD-10-CM code?
- No. W12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W12 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).