2025 ICD-10-CM code W03
(Active) Effective Date: N/A Accidents (V00-X58) - Slipping, tripping, stumbling and falls (W00-W19) 20 External causes of morbidity (V00-Y99) Feed
Other fall on same level due to collision with another person.
The 7th character of the code indicates the encounter type (initial encounter, subsequent encounter, or sequela).Additional 7th characters are often added to indicate placeholders.
Medical necessity is determined by the injuries sustained as a result of the fall. Treatment for the injuries, such as diagnostic imaging, pain management, or surgery, is medically necessary if deemed appropriate by the healthcare provider.
Clinicians should document the circumstances of the fall, including the involvement of another person, and any resulting injuries.
- 20 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: A fall on the same level caused by bumping into or being pushed by someone else.
A fall occurring on the same level or plane as a result of a collision or being pushed by another person. This includes falls due to collisions between pedestrians.
Example 1: A patient is walking down a crowded hallway and is bumped into by another person, causing them to fall and sustain a wrist fracture., Two individuals collide while playing a sport, resulting in one person falling and injuring their knee., A person is intentionally pushed by another individual, leading to a fall and a head injury.
Documentation should clearly indicate that the fall occurred on the same level and was a direct result of collision or pushing by another person. Details about the incident, the location of the fall, and the resulting injuries should be recorded.If the fall was intentional as with an assault, codes from the Y00 series for assault should be used instead.
** This code helps to classify the specific circumstances leading to the fall and provides valuable data for injury prevention and public health initiatives.It should be used as a secondary code. The primary code would be the injury received as a result of the fall.
- Specialties:Emergency Medicine, Primary Care, Orthopedics, Trauma Surgery
- Place of Service:Emergency Room - Hospital, Office, Outpatient Hospital,Inpatient Hospital, Place of Employment-Worksite, Other Place of Service