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Home/Diagnosis/ICD-10 Coding for Fall with Injury

ICD-10 Coding for Fall with Injury

W18.30XA
S72.001A

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

Also Known as:
Accidental Fall with Injury
Injury from Fall
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Key Information: ICD-10 Coding for Fall with Injury

Essential facts and insights about ICD-10 Coding for Fall with Injury

Use ICD-10 code W18.30XA for fall on same level, unspecified, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fall on same level, unspecified, initial encounter

Billable Code
W18.30XA
Billable

Diagnostic Criteria

documentation_criteria:
  • • Detailed description of the fall mechanism and location
applicable_to:
  • • Ground-level fall
excludes:
  • • Fall from height
validation:
  • • Documented mechanism of fall
  • • Witness statement or patient report
notes:
  • • Ensure to document the environment and circumstances of the fall.
risks:
  • • Misclassification if fall details are not documented

Fracture of unspecified part of neck of right femur, initial encounter for closed fracture

Billable Code
S72.001A
Billable

Diagnostic Criteria

applicable_to:
  • • Hip fracture
excludes:
  • • Pathological fracture
validation:
  • • X-ray or imaging confirmation
  • • Physical examination findings
notes:
  • • Ensure laterality is documented correctly.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y92.010

Fall in kitchen

Use to specify the location of the fall.

Frequently Asked Questions

What is the ICD-10 code for a fall with injury?

The ICD-10 code for a fall with injury is W18.30XA for unspecified falls, with additional codes for specific injuries like S72.001A for hip fractures.

How should falls with injuries be documented?

Document the mechanism of the fall, specific injury details, and the location where the fall occurred to ensure accurate coding and compliance.

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