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ICD-10-CM · FY 2026 APRIL UPDATE

W13

Fall from, out of or through building or structure

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
W13.0Fall from, out of or through balconyCategory
W13.0XXAFall from, out of or through balcony, initial encounterBillable
W13.0XXDFall from, out of or through balcony, subsequent encounterBillable
W13.0XXSFall from, out of or through balcony, sequelaBillable
W13.1Fall from, out of or through bridgeCategory
W13.1XXAFall from, out of or through bridge, initial encounterBillable
W13.1XXDFall from, out of or through bridge, subsequent encounterBillable
W13.1XXSFall from, out of or through bridge, sequelaBillable
W13.2Fall from, out of or through roofCategory
W13.2XXAFall from, out of or through roof, initial encounterBillable
W13.2XXDFall from, out of or through roof, subsequent encounterBillable
W13.2XXSFall from, out of or through roof, sequelaBillable
W13.3Fall through floorCategory
W13.3XXAFall through floor, initial encounterBillable
W13.3XXDFall through floor, subsequent encounterBillable
W13.3XXSFall through floor, sequelaBillable
W13.4Fall from, out of or through windowCategory
W13.4XXAFall from, out of or through window, initial encounterBillable
W13.4XXDFall from, out of or through window, subsequent encounterBillable
W13.4XXSFall from, out of or through window, sequelaBillable
W13.8Fall from, out of or through other building or structureCategory
W13.8XXAFall from, out of or through other building or structure, initial encounterBillable
W13.8XXDFall from, out of or through other building or structure, subsequent encounterBillable
W13.8XXSFall from, out of or through other building or structure, sequelaBillable
W13.9Fall from, out of or through building, not otherwise specifiedCategory
W13.9XXAFall from, out of or through building, not otherwise specified, initial encounterBillable
W13.9XXDFall from, out of or through building, not otherwise specified, subsequent encounterBillable
W13.9XXSFall from, out of or through building, not otherwise specified, sequelaBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

Open official CMS files

ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.