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
W13 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.
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
Questions about W13
- Is W13 a billable ICD-10-CM code?
- No. W13 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W13 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).