W13.9

W13.9: Fall from, out of or through building, not otherwise specified

Non-billable headerICD-10-CM

W13.9 is a non-billable header ICD-10-CM code for fall from, out of or through building, not otherwise specified. 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

Excludes1: never code together

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

collapse of a building or structure (W20.-)
fall or jump from burning building or structure (X00.-)

Risk adjustment

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

Alphabetic index entries that lead here

Fall, falling›from, off, out of›building
Fall, falling›from, off, out of›railing
Jumped, jumping›from›building
Jumped, jumping›from›structure

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead W13.9

3 child codes. Green means billable.