W19 — Unspecified fall
W19 is a non-billable header ICD-10-CM code for unspecified fall. 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 code W19
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Accidental fall NOS
Risk adjustment
W19 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 W19 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 W19.
- Fall, falling(accidental)
Code to one of these instead W19
3 child codes. Green means billable.
Questions about W19
- Is W19 a billable ICD-10-CM code?
- No. W19 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W19 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).