Is W17.3 a billable ICD-10-CM code?

No. W17.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does W17.3 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 W17.3?

W17.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

W17.3

W17.3 — Fall into empty swimming pool

Non-billable headerICD-10-CM

W17.3 is a non-billable header ICD-10-CM code for fall into empty swimming pool. 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 W17

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.

fall into filled swimming pool (W16.0-)

Other codes that can never be billed with W17.3

These codes carry an Excludes1 note pointing at W17.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W17.3 alone.

W16.0Fall into swimming pool

Risk adjustment

W17.3 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.

How W17.3 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to W17.3.

Fall, falling›into›swimming pool›empty

Code to one of these instead W17.3

3 child codes. Green means billable.

Related codes at this level

Codes that share W17. If W17.3 is not quite right, the correct code is usually one of these.

Questions about W17.3

Is W17.3 a billable ICD-10-CM code?: No. W17.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does W17.3 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 W17.3?: W17.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.