{"code":"W12.XXXA","type":"code","title":"Fall on and from scaffolding, initial encounter","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"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)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["W12","W12D","W12S"],"inclusionTerms":[],"sibling_titles":{"code":"W12","title":"Fall on and from scaffolding","isBillable":false},"useAdditionalCode":[],"clinicalDefinition":"Fall on and from scaffolding, initial encounter is a billable ICD-10-CM diagnosis code (W12A). Excludes1 (not coded here): 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 (not included here): at risk for fall (history of fall) Z91.81; fall (in) (from) burning building (X00.-); fall into fire (X00-X04, X08). 7th character: The appropriate 7th character is to be added to code W12.","officialDefinition":"Fall on and from scaffolding, initial encounter is a billable ICD-10-CM diagnosis code (W12A). Excludes1 (not coded here): 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 (not included here): at risk for fall (history of fall) Z91.81; fall (in) (from) burning building (X00.-); fall into fire (X00-X04, X08). 7th character: The appropriate 7th character is to be added to code W12.","seventhCharacterInstructions":["The appropriate 7th character is to be added to code W12"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}