2025 ICD-10-CM code W07.XXXS
(Valid) Effective Date: N/A External causes of morbidity - Slipping, tripping, stumbling and falls 20 Feed
Fall from chair, sequela.
Medical necessity must be established for the treatment of the sequela.The documentation should support that the current condition is a direct result of the fall from the chair and that the treatment being provided is reasonable and necessary to address the sequela.
The clinical responsibility for this code lies in documenting the sequela (the late effect) of the fall from the chair. This involves identifying the current condition caused by the previous fall and accurately coding it with a code from another chapter of ICD-10-CM, while using W07.XXXS as a secondary code to indicate the cause of the sequela.
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- Accidents (V00-X58)Other external causes of accidental injury (W00-X58)Slipping, tripping, stumbling and falls (W00-W19)
In simple words: This code describes the long-term effects or complications that arise after a fall from a chair.
Fall from chair, sequela.A sequela is a condition that is the consequence of a previous injury or disease. In this case, the code describes a condition resulting from a fall from a chair.
Example 1: A patient presents with chronic back pain (M54.5) which is determined to be the result of a fall from a chair six months prior. The code W07.XXXS would be used as a secondary code, with M54.5 being the primary code., A patient has limited range of motion in their shoulder (M24.511) following a fall from a chair a year ago. W07.XXXS is used as a secondary code, after the code describing the limited range of motion., A patient suffers from post-concussion syndrome (F07.81) after falling from a chair several weeks earlier.W07.XXXS would be the secondary code, with F07.81 being the primary code.
Documentation should clearly link the current condition to the prior fall from a chair.The nature of the fall, the date of the fall, and the specific sequelae that have developed should be detailed in the patient's medical record.Supporting documentation may include imaging studies, physical therapy evaluations, or specialist consultations.
** It is important to distinguish between the initial encounter for the fall (W07.XXXA), a subsequent encounter for the fall (W07.XXXD), and the sequela of the fall (W07.XXXS).The seventh character of the code signifies the encounter type: A (initial encounter), D (subsequent encounter), or S (sequela).
- Specialties:The specialty of the physician treating the sequela will depend on the nature of the condition. This could include orthopedics, neurology, physical medicine and rehabilitation, or other specialties.
- Place of Service:The place of service will depend on the setting where the sequela is being treated. This could include a physician's office, hospital outpatient department, inpatient hospital, or other settings.