Is W13.9XXA a billable ICD-10-CM code?

Yes. W13.9XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does W13.9XXA 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 W13.9XXA?

W13.9XXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

W13.9XXA

W13.9XXA — Fall from, out of or through building, not otherwise specified, initial encounter

Billable / specific codeICD-10-CM

W13.9XXA is a billable, specific ICD-10-CM code for fall from, out of or through building, not otherwise specified, initial encounter. It is valid for submission on a claim.

7th character "A" — initial encounter

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

W13.9XXA 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 W13.9. If W13.9XXA is not quite right, the correct code is usually one of these.

Questions about W13.9XXA

Is W13.9XXA a billable ICD-10-CM code?: Yes. W13.9XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does W13.9XXA 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 W13.9XXA?: W13.9XXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.