W13
W13: Fall from, out of or through building or structure
Non-billable headerICD-10-CM
W13 is a non-billable header ICD-10-CM code for fall from, out of or through building or structure. 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 W13
- A
- initial encounter
- D
- subsequent encounter
- S
- 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 W13
7 child codes. Green means billable.
- 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