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.

Check W13.9XXA with the rest of the claim: free scrubber

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.-)

Excludes1 inherited from the categories above W13.9XXA

A category’s note binds every code beneath it.

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

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.

Code history

Unchanged in every release from FY2024 to FY2027.