2025 ICD-10-CM code W18.01
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Falls due to bumping against an object; Striking against an object with subsequent fall External causes of morbidity (V00-Y99) Feed
Striking against sports equipment, resulting in a fall.
Not applicable to ICD-10-CM codes.
Medical necessity is established by the presence of injuries resulting from the fall.The documentation should support the severity of the injuries and the need for treatment rendered.
The physician's responsibility includes assessing the patient's injuries resulting from the fall, documenting the event accurately using the appropriate ICD-10-CM codes, providing necessary treatment, and ensuring proper documentation for billing purposes.
- External causes of morbidity (V00-Y99)
- W18.01 is under the broader category of W18 (Other slipping, tripping and stumbling and falls), specifically W18.0 (Fall due to bumping against object; Striking against object with subsequent fall).
In simple words: This code is used when someone falls after hitting something like sports equipment.Doctors use it along with another code that describes the injury caused by the fall.
This ICD-10-CM code classifies instances where an individual strikes against sports equipment, leading to a subsequent fall.It is crucial to note that this code is used secondarily to a code from another chapter that describes the nature of the injury sustained from the fall.The seventh character (A, D, or S) should be added to specify the encounter (initial, subsequent, or sequela).
Example 1: A soccer player falls after colliding with another player and their leg gets injured. W18.01 would be used to describe how the fall occurred, and an additional code from Chapter 19 would describe the leg injury., A basketball player trips over their own feet while dribbling and falls, hitting their head on the court. W18.01 would be recorded and also a code from Chapter 19 for concussion or other head injuries., A gymnast falls during a floor routine after colliding with a piece of equipment.W18.01 would be utilized to document the cause of the fall, and subsequent injury codes would detail the specific injury such as fracture, sprain or contusion.
Complete documentation should include a detailed description of the event leading to the fall, specification of the sports equipment involved, a comprehensive description of the injuries sustained, and any treatment administered.The physician's note should clearly link the fall with the subsequent injuries.
** The seventh character (A, D, or S) is required to indicate the encounter status. This code should always be used in conjunction with codes from other chapters that describe the injuries.
- Revenue Code: Revenue codes will depend on the services provided and the place of service.Consult your payer's guidelines.
- RVU: RVUs are not applicable to ICD-10-CM codes.RVUs are associated with CPT codes which are used for describing procedures and services, not diagnoses.
- 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:Orthopedics, sports medicine, emergency medicine
- Place of Service:Office, Emergency Room - Hospital, Outpatient Hospital, Ambulatory Surgical Center