Fall from, out of or through building or structure

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 7 more specific codes instead:

W13.0 Fall from, out of or through balcony (also a header)
W13.1 Fall from, out of or through bridge (also a header)
W13.2 Fall from, out of or through roof (also a header)
W13.3 Fall through floor (also a header)
W13.4 Fall from, out of or through window (also a header)
W13.8 Fall from, out of or through other building or structure (also a header)
W13.9 Fall from, out of or through building, not otherwise specified (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Fall from, out of or through building or structure

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

This code

Seventh character required

The appropriate 7th character is to be added to each code from category W13

Inherited from the W00-W19 section Slipping, tripping, stumbling and falls (W00-W19)

Excludes1 - never coded here

assault involving a fall (Y01-Y02)
fall from animal (V80.-)
fall (in) (from) machinery (in operation) (W28-W31)
fall (in) (from) transport vehicle (V01-V99)
intentional self-harm involving a fall (X80-X81)

Excludes2 - not included here

at risk for fall (history of fall) Z91.81
fall (in) (from) burning building (X00.-)
fall into fire (X00-X04, X08)