W12

Billable
ChapterV00–Y99
Rankcategory
Official Description

Fall on and from scaffolding

Metadata & Insights
  • Billable/specific code (valid for reimbursement).
  • Chapter 20: External Causes of Morbidity (V00-Y99).

W00-W19 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • assault involving a fall (Y01-Y02)
  • fall from animal (V80.-)
  • fall (in) (from) machinery (in operation) (W28-W31)
  • fall (in) (from) transport vehicle (V01-V99)
  • intentional self-harm involving a fall (X80-X81)
Excludes2(Not included here. Code separately if applicable.)
  • at risk for fall (history of fall) Z91.81
  • fall (in) (from) burning building (X00.-)
  • fall into fire (X00-X04, X08)

Clinical Hierarchy

BillableHas subcodes
CH20External causes of morbidity (V00-Y99)
W00-W19Slipping, tripping, stumbling and falls (W00-W19)
W12Fall on and from scaffoldingBillable
W12.XXXAFall on and from scaffolding, initial encounterBillable
W12.XXXDFall on and from scaffolding, subsequent encounterBillable
W12.XXXSFall on and from scaffolding, sequelaBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to W12:

blockW00-W19
Slipping, tripping, stumbling and falls (W00-W19)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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