W13

Non-Billable
ChapterV00–Y99
Rankcategory
Official Description

Fall from, out of or through building or structure

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • 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)
W13Fall from, out of or through building or structureNot billable
W13.0Fall from, out of or through balconyBillable
W13.1Fall from, out of or through bridgeBillable
W13.2Fall from, out of or through roofBillable
W13.3Fall through floorBillable
W13.4Fall from, out of or through windowBillable
W13.8Fall from, out of or through other building or structureBillable
W13.9Fall from, out of or through building, not otherwise specifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to W13:

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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