W55.12 — Struck by horse
W55.12 is a non-billable header ICD-10-CM code for struck by horse. 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 W55
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
W55.12 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 W55.12 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 W55.12.
- Butted by animal›horse
- Contact›with›horse›strike
Code to one of these instead W55.12
3 child codes. Green means billable.
Related codes at this level
Codes that share W55.1. If W55.12 is not quite right, the correct code is usually one of these.
Questions about W55.12
- Is W55.12 a billable ICD-10-CM code?
- No. W55.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W55.12 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Exposure to animate mechanical forces (W50-W64).