{"code":"W12.XXXS","type":"code","title":"Fall on and from scaffolding, sequela","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","W12.XXXA","W12.XXXD"],"inclusionTerms":[],"sibling_titles":{"code":"W12.XXXD","title":"Fall on and from scaffolding, subsequent encounter","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Fall on and from scaffolding, sequela is a billable ICD-10-CM diagnosis code (W12S). 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, sequela is a billable ICD-10-CM diagnosis code (W12S). 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":"","noteProvenance":{"assault involving a fall (Y01-Y02)":"W12","fall from animal (V80.-)":"W12","fall (in) (from) machinery (in operation) (W28-W31)":"W12","fall (in) (from) transport vehicle (V01-V99)":"W12","intentional self-harm involving a fall (X80-X81)":"W12","at risk for fall (history of fall) Z91.81":"W12","fall (in) (from) burning building (X00.-)":"W12","fall into fire (X00-X04, X08)":"W12"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}