2025 ICD-10-CM code W16.212
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Falls Chapter 20: External causes of morbidity Feed
Fall in a filled bathtub resulting in other injuries.
Modifiers may be applicable depending on the circumstances of the visit and the type of services rendered. Consult official guidelines for appropriate modifier usage.
Medical necessity is established through appropriate documentation of the fall, injuries, and treatment rendered. This includes a clear explanation of the relationship between the fall and the resulting injury. The physician's documentation should support the medical necessity of all provided services. This code serves to identify and clarify the mechanism of injury.
The clinical responsibility includes documenting the fall event, assessing the patient for injuries, providing appropriate treatment and aftercare. This involves documenting the circumstances of the fall, the nature and extent of the injuries sustained.Additional aspects might include follow-up care and discharge planning.
- Chapter 20: External causes of morbidity
- V00-Y99 > W00-W19 > W16 > W16.2 > W16.21 > W16.212
In simple words: This code is for when someone falls in a bathtub full of water and gets hurt, but doesn't drown. The doctor will use this code along with another code to describe the specific injuries.
This code classifies a fall within a filled bathtub that leads to injuries other than drowning or submersion.It is used as a secondary code to identify the cause of injury, following a primary code detailing the specific injury sustained in the fall.The seventh character should be added to specify the encounter.
Example 1: A 70-year-old woman slipped in her filled bathtub, falling and fracturing her hip.ICD-10-CM code S72.00XA (Unspecified fracture of the neck of the femur, initial encounter) is the primary code, and W16.212 is the secondary code., A 5-year-old child fell into a filled bathtub, hitting their head and suffering a concussion.The primary code would be S06.0XXA (Concussion, initial encounter), with W16.212 as the secondary code., A 35-year-old man fell in a filled bathtub, cutting his arm on a broken piece of ceramic tile. The primary code would be S61.21XA (Laceration of the forearm, initial encounter), with W16.212 as the secondary code.
Thorough documentation of the fall incident is essential, including details about the patient's circumstances, the presence of water in the bathtub, and a description of all injuries sustained.Medical records should include the patient's physical examination findings, diagnostic imaging results (if applicable), treatment provided, and any complications.
** This code should not be used if the fall occurred in an empty bathtub.In such cases, W18.2 should be considered.Also, the appropriate 7th character should always be included to specify whether the visit is an initial or subsequent encounter.
- Payment Status: Active
- Modifier TC rule: Not applicable
- Specialties:Emergency Medicine, Orthopedics, Family Medicine
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office