{"code":"W19.XXXA","type":"code","title":"Unspecified fall, 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":["W19","W19.XXXD","W19.XXXS"],"inclusionTerms":["Accidental fall NOS"],"sibling_titles":{"code":"W19.XXXS","title":"Unspecified fall, sequela","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Unspecified fall, initial encounter is a billable ICD-10-CM diagnosis code (W19A). Inclusion terms: Accidental fall NOS. 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 W19.","officialDefinition":"Unspecified fall, initial encounter is a billable ICD-10-CM diagnosis code (W19A). Inclusion terms: Accidental fall NOS. 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 W19.","seventhCharacterInstructions":["The appropriate 7th character is to be added to code W19"],"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)":"W19","fall from animal (V80.-)":"W19","fall (in) (from) machinery (in operation) (W28-W31)":"W19","fall (in) (from) transport vehicle (V01-V99)":"W19","intentional self-harm involving a fall (X80-X81)":"W19","at risk for fall (history of fall) Z91.81":"W19","fall (in) (from) burning building (X00.-)":"W19","fall into fire (X00-X04, X08)":"W19","Accidental fall NOS":"W19"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}