W18.2XXA
W18.2XXA — Fall in (into) shower or empty bathtub, initial encounter
Billable / specific codeICD-10-CM
W18.2XXA is a billable, specific ICD-10-CM code for fall in (into) shower or empty bathtub, 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 W18
- 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 in full bathtub causing drowning or submersion (W16.21-)
Risk adjustment
W18.2XXA 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 W18.2. If W18.2XXA is not quite right, the correct code is usually one of these.
Questions about W18.2XXA
- Is W18.2XXA a billable ICD-10-CM code?
- Yes. W18.2XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does W18.2XXA 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 W18.2XXA?
- W18.2XXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.