Complete ICD-10-CM coding and documentation guide for icd-10 coding for recent fall includes clinical validation requirements, medical necessity guidelines, and coding policies.
Save 2+ hours daily with instant clinical documentation.
Our AI scribe listens, understands, and generates comprehensive medical notes so you can focus on patient care.
Ready to Record
Start recording to see live conversation transcription
Essential facts and insights about ICD-10 Coding for Recent Fall
Use ICD-10 code W18.30XA for fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
History of falling
Use to document a history of falls, which may indicate increased risk.
Fall on same level from slipping, tripping and stumbling
Use to specify the mechanism of recent falls.
The ICD-10 code for a recent fall is W18.30XA, which describes a fall on the same level from slipping, tripping, and stumbling without subsequent striking against an object.
Document the mechanism of the fall, surface type, activity at the time, and any loss of consciousness. Include details like 'tripped over a rug in the living room'.