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Home/Diagnosis/ICD-10 Coding for Fall History

ICD-10 Coding for Fall History

R29.6
Z91.81

Complete ICD-10-CM coding and documentation guide for icd-10 coding for fall history includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
History of Falls
Previous Falls
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Key Information: ICD-10 Coding for Fall History

Essential facts and insights about ICD-10 Coding for Fall History

Use ICD-10 code R29.6 for repeated falls, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Repeated falls

Billable Code
R29.6
Billable

Diagnostic Criteria

clinical:
  • • Patient has experienced two or more falls in the past year.
documentation:
  • • Detailed documentation of each fall's circumstances and contributing factors.

Applicable To

  • • Multiple falls within a year

Important Notes

  • • Ensure to document the frequency and circumstances of falls to justify the use of R29.6.

Personal history of falling

Billable Code
Z91.81
Billable

Diagnostic Criteria

documentation:
  • • Documentation of a single fall in the past
  • • Risk factor analysis

Applicable To

  • • Single fall in the past without current risk

Important Notes

  • • Z91.81 should not be used as a primary diagnosis; it is always secondary to an active diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

W00-W19

External causes of falls

Use to specify the cause of the fall when documenting injuries.

Frequently Asked Questions

What is the ICD-10 code for fall history?

The ICD-10 code for a history of falls is Z91.81, used for documenting past falls without current risk.

When should R29.6 be used?

Use R29.6 for patients with two or more falls in the past year, requiring active management.

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