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Compare/W03.XXXD vs Y01

W03.XXXD vs Y01

W03.XXXD (Other fall on same level due to collision with another person, subsequent encounter) compared with Y01 (Assault by pushing from high place), 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 Y01: “assault involving a fall (Y01-Y02)”

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 encounterY01Assault by pushing from high place
Billing statusBillableNon-billable header

Report instead: Y01.XXXA, Y01.XXXD, Y01.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).Assault by pushing from high place is a non-billable ICD-10-CM category code (Y01).
7th characterThe appropriate 7th character is to be added to code W03The appropriate 7th character is to be added to code Y01
Includes
Fall due to non-transport collision with other person
homicide
injuries inflicted by another person with intent to injure or kill, by any means

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