ICD-10-CM Code W19
Unspecified fall
NON-BILLABLE
7th Character Required
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ICD-10 from 2011 - 2016
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."ICD Code W19 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'unspecified fall' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
| 7th Digit | Billable Code | 7th Digit Specifies |
|---|---|---|
| A | W19.XXXA | initial encounter |
| D | W19.XXXD | subsequent encounter |
| S | W19.XXXS | sequela |
What is 7th Character Extension?
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More InfoCoding Notes for W19 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Accidental fall NOS
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7th Character Extension Notes:
What is 7th Character Extension?
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info - The appropriate 7th character is to be added to code See Code W19
Coding Advice SNOMET-CT
- Possible requirement for place of occurrence
ICD-10-CM External Cause Index References for 'W19 - Unspecified fall'
The ICD-10-CM External Cause Index links the below-listed medical terms to the ICD code W19. Click on any term below to browse the external cause index.
Fall, falling(accidental) (W19)