Z91.81
Z91.81: History of falling
Billable / specific codeICD-10-CMPOA exempt
Z91.81 is a billable, specific ICD-10-CM code for history of falling. It is valid for submission on a claim.
Check Z91.81 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- At risk for falling
Excludes2 inherited from the categories above Z91.81
Not part of this code, but both may be coded when both are present.
Written on Z91: Personal risk factors, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z91.81 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Alphabetic index entries that lead here
- Problem›falling
- At risk›for›falling
- History›personal›fall, falling
Code history
Unchanged in every release from FY2024 to FY2027.