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Home/Diagnosis/ICD-10 Coding for Slip and Fall

ICD-10 Coding for Slip and Fall

W01.0XXA
W01.1XXA
R29.6

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

Also Known as:
Fall on Same Level
Trip and Fall
Stumble and Fall
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Key Information: ICD-10 Coding for Slip and Fall

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

Use ICD-10 code W01.0XXA for fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter

Billable Code
W01.0XXA
Billable

Diagnostic Criteria

  • • Patient reports slipping without hitting an object.

Applicable To

  • • Slip on wet floor

Important Notes

  • • Ensure to document the mechanism of fall clearly.

Fall on same level from slipping, tripping and stumbling with subsequent striking against object, initial encounter

Non-Billable
W01.1XXA
Non-Billable

Diagnostic Criteria

  • • Patient report of slipping
  • • Evidence of striking an object

Applicable To

  • • Trip over rug and hit table

Important Notes

  • • Ensure to document the object struck during the fall.

Repeated falls

Billable Code
R29.6
Billable

Diagnostic Criteria

  • • Documented history of multiple falls
  • • Gait assessment

Applicable To

  • • History of frequent falls

Important Notes

  • • Ensure to document the frequency and circumstances of falls.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y92.010

Place of occurrence: Kitchen

Use to specify the location of the fall.

Frequently Asked Questions

What is the ICD-10 code for a slip and fall?

The ICD-10 code for a slip and fall without striking an object is W01.0XXA, while W01.1XXA is used if the fall involved striking an object.

How do you document a slip and fall incident?

Document the mechanism, injuries, and environmental factors. Include details like surface conditions and any objects struck.

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