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Home/Diagnosis/ICD-10 Coding for Unspecified Fall

ICD-10 Coding for Unspecified Fall

W19.XXXA

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

Also Known as:
Fall NOS
Accidental Fall
Fall, unspecified
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Key Information: ICD-10 Coding for Unspecified Fall

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

Use ICD-10 code W19.XXXA for unspecified fall, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified fall, initial encounter

Billable Code
W19.XXXA
Billable

Diagnostic Criteria

documentation_criteria:
  • • Lack of details on fall mechanism
applicable_to:
  • • Fall NOS
excludes:
  • • Fall from bed (W06.XXXA)
  • • Fall from chair (W07.XXXA)
validation:
  • • Absence of specific details on the mechanism of fall
  • • No documentation of height or surface
notes:
  • • Ensure injury codes are sequenced before external cause codes.
risks:
  • • Increased audit risk due to lack of specificity
  • • Potential for reduced reimbursement
Ancillary Codes

Additional codes that may be used with this diagnosis

Y92.0-Y92.9

Place of occurrence

Use to specify the location where the fall occurred.

Frequently Asked Questions

What is the ICD-10 code for an unspecified fall?

The ICD-10 code for an unspecified fall is W19.XXXA, used when the fall's mechanism, height, and activity are not documented.

When should W19.XXXA be used?

W19.XXXA should be used when there are no specific details available about the fall's mechanism, height, or activity.

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