Fall Risk ICD-10-CM Codes

What ICD codes are used for fall risk?

When addressing fall risk, it's crucial to be familiar with the specific fall risk ICD codes for accurate clinical documentation and billing. Fall risk pertains to the likelihood of an individual experiencing a fall due to various factors.

Here are some of the commonly used ICD codes related to fall:

• W01.0XXA: Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter.
• W01.0XXD: Fall on same level from slipping, tripping and stumbling without subsequent striking against object, subsequent encounter.
• W01.0XXS: Fall on same level from slipping, tripping and stumbling without subsequent striking against object, sequela
• W05.0XXA: Fall from non-moving wheelchair, initial encounter
• W05.0XXD: Fall from non-moving wheelchair, subsequent encounter
• W05.0XXS: Fall from non-moving wheelchair, sequela
• W06.XXXA: Fall from bed, initial encounter
• W06.XXXD: Fall from bed, subsequent encounter
• W06.XXXS: Fall from bed, sequela
• W19.XXXA: Unspecified fall, initial encounter
• W19.XXXD: Unspecified fall, subsequent encounter
• W19.XXXS: Unspecified fall, sequela
• Z91.81: History of falling

Using the correct codes ensures that patients receive the appropriate care and that healthcare providers are reimbursed correctly.

Which fall risk ICD codes are billable?

All the ICD codes mentioned for fall risk are typically billable as they represent specific medical conditions or incidents that require intervention. Accurate documentation is crucial to ensure accurate billing and prevent potential discrepancies.

Clinical information

Fall risk can lead to significant injuries and complications, especially in older adults. Here's what clinicians and patients should be aware of:

• Falls are a leading cause of injury among older adults, often leading to fractures, head injuries, and other complications.
• Factors increasing fall risk include muscle weakness, balance issues, medications, vision problems, and environmental hazards.
• Prevention strategies include physical therapy, medication review, vision checks, and home safety assessments.
• It is also important to note a patient's personal history of falling along with personal risk factors to prevent future falls.
• Regular check-ups and risk assessments are essential to prevent falls and related complications.
• Assistive devices, like walkers or canes, can help reduce the risk of falls.

Synonyms include

• Risk of falling
• Tendency to fall
• Fall susceptibility
• Fall hazard
• Fall propensity