2025 ICD-10-CM code W05.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Falls Chapter 20: External causes of morbidity and mortality Feed
Fall from a non-moving motorized mobility scooter.
ICD-10-CM codes do not use modifiers. Modifiers are used with CPT and HCPCS codes.
Medical necessity is established through the documentation of the patient's injuries and the need for treatment.The fall itself might not require medical necessity justification, but the resulting injuries would.
The clinical responsibility involves evaluating the patient for injuries sustained as a result of the fall from the motorized mobility scooter and providing appropriate treatment.
- Chapter 20: External causes of morbidity and mortality
- W00-W19 (Slipping, tripping, stumbling and falls)
In simple words: This code is used when someone falls from a motorized scooter that wasn't moving at the time.The doctor will also use codes to describe any injuries caused by the fall.
This ICD-10-CM code classifies injuries resulting from a fall from a non-moving motorized mobility scooter.It is crucial to document the circumstances of the fall, including the type of scooter, the patient's pre-fall status (e.g., mobility limitations, medication use), the location of the fall, and any resulting injuries.A seventh character (A, D, or S) should be added to specify the encounter (initial, subsequent, or sequela). This code is typically used as a secondary code to a code from another chapter detailing the specific injury sustained.
Example 1: An elderly patient using a motorized scooter falls at home, sustaining a hip fracture.W05.2 would be used in conjunction with a fracture code from Chapter 19., A patient falls from a stationary motorized scooter in a nursing home, resulting in a concussion. Codes for concussion and other injuries would be used along with W05.2., A patient with Parkinson's disease falls from their non-moving scooter, resulting in multiple contusions and abrasions.W05.2 is used along with the codes for the specific injuries.
Detailed documentation is crucial. This includes the circumstances of the fall, the patient's pre-fall status (mobility, medications), location of the fall, the type of scooter, and the specific injuries sustained.A narrative clinical description of the event is necessary.
** Always code the underlying injury or condition in addition to this external cause code.The seventh character is mandatory and should be selected based on the patient’s encounter with the healthcare provider.This code is primarily used for injury tracking and public health surveillance.
- Revenue Code: Revenue codes will vary depending on the healthcare setting and the services provided. Consult your specific facility's revenue code guidelines.
- RVU: RVUs are not directly associated with ICD-10-CM codes. Reimbursement is determined by various factors, including the place of service, the specific procedures performed, and the payer's fee schedule.
- Global Days : Not applicable to ICD-10-CM codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10-CM codes.
- Fee Schedule : Not applicable to ICD-10-CM codes.
- Specialties:Emergency Medicine, Geriatric Medicine, Orthopedics, Physical Medicine and Rehabilitation
- Place of Service:The place of service can vary widely, including Home, Nursing Facility, Hospital Emergency Room, and others.