2025 ICD-10-CM code W18.1
(Active) Effective Date: N/A Accidents (V00-X58) - Slipping, tripping, stumbling and falls (W00-W19) 20. External causes of morbidity (V00-Y99) Feed
Fall from or off toilet.
The seventh character of the code should indicate whether the encounter is an initial encounter (A), subsequent encounter (D), or sequela (S).
Medical necessity is determined by the injuries sustained as a result of the fall. Treatment for the injuries is medically necessary.
Documenting the circumstances of the fall, any injuries sustained, and providing appropriate medical care.
- 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: Falling from or off a toilet.
Fall from or off toilet.
Example 1: A 70-year-old male with a history of Parkinson's disease falls while attempting to sit down on the toilet at home, resulting in a fractured hip., A 3-year-old child climbs onto a toilet seat and falls, hitting their head on the sink., A 50-year-old female experiencing a bout of dizziness falls off the toilet, resulting in a minor concussion.
The documentation should include the location of the fall (toilet), the activity the patient was engaged in (using the toilet), any contributing factors (e.g., dizziness, weakness), and the injuries sustained.
** Excludes1: assault involving a fall (Y01-Y02), fall from animal (V80.-), fall (in) (from) machinery (in operation) (W28-W31), fall (in) (from) transport vehicle (V01-V99), intentional self-harm involving a fall (X80-X81). Excludes2: at risk for fall (history of fall) Z91.81, fall (in) (from) burning building (X00.-), fall into fire (X00-X04, X08).
- Specialties:Emergency Medicine, Primary Care, Geriatrics, Pediatrics
- Place of Service:Home, Inpatient Hospital, Emergency Room - Hospital, Nursing Facility, Assisted Living Facility,Other Place of Service