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2025 ICD-10-CM code W18.40

Slipping, tripping, and stumbling without falling, unspecified.

This code should be used only when a slip, trip, or stumble occurs without a fall. If a fall does occur, a different code should be used, and further codes may be needed to specify the nature of the fall and any resulting injuries.

Medical necessity is not typically applicable to this code as it documents a near-miss event.The code is appropriate when a slip, trip, or stumble occurs without a fall and without resulting injury.

Documentation of the event by a physician or qualified healthcare professional.Assessment of the patient for any injuries or sequelae resulting from the near-fall event.

IMPORTANT:W18.40XA (initial encounter), W18.40XD (subsequent encounter).Consider additional codes from other chapters to specify any resulting injuries or conditions.

In simple words: This code is used when someone slips, trips, or stumbles but doesn't fall.It's for situations where a fall was almost a possibility, but it didn't happen.

This ICD-10-CM code classifies instances where an individual slips, trips, or stumbles but does not actually fall.It's used to record incidents where a fall is avoided, and no injury results. This code is typically secondary to another code describing any resulting condition, if applicable.The absence of a fall distinguishes it from other codes within the same category.

Example 1: A patient is walking down a wet hallway in a hospital and slips on a puddle of water, but quickly recovers balance, preventing a fall. No injuries are noted., A patient stumbles while walking on uneven ground in the home but catches themselves on a railing before falling.No injuries are sustained., A patient trips over a rug but is able to quickly recover their balance and prevent a fall. No injuries or medical attention is required.

Detailed description of the event, including the circumstances, location, and any contributing factors.Documentation of the patient's assessment, including the absence of any injuries or complications.

** This code is primarily for documentation purposes and may not always result in direct reimbursement.It's crucial to accurately document the event and any subsequent evaluation to ensure proper coding.

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