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Compare/W03.XXXD vs W52

W03.XXXD vs W52

W03.XXXD (Other fall on same level due to collision with another person, subsequent encounter) compared with W52 (Crushed, pushed or stepped on by crowd or human stampede), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. W03.XXXD carries an Excludes1 note covering W52: “crushed or pushed by a crowd or human stampede (W52)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

W03.XXXDOther fall on same level due to collision with another person, subsequent encounterW52Crushed, pushed or stepped on by crowd or human stampede
Billing statusBillableNon-billable header

Report instead: W52.XXXA, W52.XXXD, W52.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionOther fall on same level due to collision with another person, subsequent encounter is a billable ICD-10-CM diagnosis code (W03D).Crushed, pushed or stepped on by crowd or human stampede is a non-billable ICD-10-CM category code (W52).
7th characterThe appropriate 7th character is to be added to code W03The appropriate 7th character is to be added to code W52
Includes
Fall due to non-transport collision with other person
Crushed, pushed or stepped on by crowd or human stampede with or without fall

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources