2025 ICD-10-CM code W18.39
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Accidents - Slipping, tripping, stumbling and falls (W00-W19) External causes of morbidity (V00-Y99) Feed
Other fall on the same level.
Documentation should support the medical necessity of the encounter.This could include a narrative describing the circumstances of the fall and resulting injuries, and the appropriate treatment rendered.
Documentation of the fall, patient assessment for injuries sustained, treatment of any injuries, and follow-up care as needed.
- External causes of morbidity (V00-Y99)
- Accidents (V00-X58); Other external causes of accidental injury (W00-X58); Slipping, tripping, stumbling and falls (W00-W19)
In simple words: This code is used when someone falls on a flat surface, without falling from any height or because of something specific like an assault, self-harm, or falling from a vehicle.
This code classifies a fall on the same level, excluding falls from a height or those involving other specified circumstances (e.g., assault, self-harm, falls from machinery or transport vehicles).
Example 1: A 70-year-old patient with a history of osteoporosis trips on a rug at home, falls on the same level and sustains a wrist fracture., A 30-year-old patient slips on a wet floor in a grocery store, resulting in a minor ankle sprain. , A 5-year-old child stumbles while playing and falls on the same level, resulting in a minor abrasion to the knee.
Detailed description of the fall event, including location, circumstances, and any witnesses.Complete assessment and documentation of any resulting injuries.Treatment plan and any follow-up care provided.
** This code is for falls on the same level; falls from a height are coded differently.Always ensure the most specific code possible is selected to accurately reflect the patient's condition.
- Payment Status: Active
- Specialties:Emergency Medicine, Orthopedics, Family Medicine
- Place of Service:Office, Emergency Room - Hospital, Home, Other Place of Service