W18.4
W18.4: Slipping, tripping and stumbling without falling
Non-billable headerICD-10-CM
W18.4 is a non-billable header ICD-10-CM code for slipping, tripping and stumbling without falling. 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 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.
- collision with another person without fall (W51)
Other codes that can never be billed with W18.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- W01Fall on same level from slipping, tripping and stumbling
- W18.31Fall on same level due to stepping on an object
- W18.31XAFall on same level due to stepping on an object, initial encounter
- W18.31XDFall on same level due to stepping on an object, subsequent encounter
- W18.31XSFall on same level due to stepping on an object, sequela
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.
Code to one of these instead W18.4
5 child codes. Green means billable.
- W18.40Slipping, tripping and stumbling without falling, unspecified
- W18.41Slipping, tripping and stumbling without falling due to stepping on object
- W18.42Slipping, tripping and stumbling without falling due to stepping into hole or opening
- W18.43Slipping, tripping and stumbling without falling due to stepping from one level to another
- W18.49Other slipping, tripping and stumbling without falling