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Home/Diagnosis/ICD-10 Coding for Status Post Fall

ICD-10 Coding for Status Post Fall

W01.0XXA
Z91.81

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

Also Known as:
Post-Fall
After Falls
p Fall
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Key Information: ICD-10 Coding for Status Post Fall

Essential facts and insights about ICD-10 Coding for Status Post 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

documentation_criteria:
  • • Document the specific mechanism of the fall
applicable_to:
  • • Slips
  • • Trips
  • • Stumbles
excludes:
  • • Falls from stairs
  • • Falls from ladders
validation:
  • • Documented mechanism of fall
  • • Location of fall
  • • Activity during fall
notes:
  • • Ensure the fall mechanism is clearly documented to avoid unspecified coding.
risks:
  • • Misclassification if the fall involved striking an object

History of falling

Billable Code
Z91.81
Billable

Diagnostic Criteria

applicable_to:
  • • Previous falls
excludes:
  • • Current fall
validation:
  • • Patient's history of falls
  • • Risk assessment documentation
notes:
  • • This code is used for historical documentation and should not be primary.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y92.010

Kitchen as the place of occurrence of the external cause

Use to specify the location of the fall.

Frequently Asked Questions

What is the ICD-10 code for a fall?

The ICD-10 code for a fall depends on the specifics, such as W01.0XXA for a slip or trip without striking an object.

How do you document a fall in a medical record?

Document the mechanism, location, and any injuries sustained during the fall, ensuring specificity for accurate coding.

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