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W03 ICD-10-CM Code: Other fall on same level due to collision with another person

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Coding at a Glance

7th character
Required — characters A · D · S
Tabular directives
1 inclusion term · 10 Excludes1 · 3 Excludes2

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for W03 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on W03 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Fall due to non-transport collision with other person

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from W00-W19

7th Character Guide

"The appropriate 7th character is to be added to code W03"

  • A — initial encounter
  • D — subsequent encounter
  • S — sequela

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

W03.XXXA, W03.XXXD, W03.XXXS

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for W03

MedCoder structured workflow — derived from this code’s own official record

Before you code W03

  1. W03 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewW03.XXXA, W03.XXXD, W03.XXXS

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on W03; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  3. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. W03 is not valid without one. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

    See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

  4. W03’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  5. An external cause code is reported in addition to the code for the injury or condition, never as the principal or first-listed diagnosis. Confirm the cause, intent, place of occurrence, activity and status where the record documents them, and assign the 7th character that matches the injury code. External cause coding guidelines (Guidelines I.C.20.a).

  6. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with W03. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support one of the more specific codes beneath W03?
    Yes → Select that code and continue the checks below on its own page.
    No → W03 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewW03.XXXA, W03.XXXD, W03.XXXS

  2. Does the documentation support a condition named in W03’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewW51, W52, W00, W18.30, V80

  3. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
    Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
    No → The code is invalid without its 7th character — query for the missing element.

Consider W03. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Encounter type
Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting W03(10 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with W03: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareW51, W52, W00, W18.30, V80

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of W03(3 notes)

    Coding workflow: The conditions named in this note are not included in W03. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareZ91.81, X00, X08

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition W03 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewW51, W52, W00, W18.30, V80

Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.

Coding question: Which 7th character applies?

Path: Review the official 7th-character definitions for this family in the 7th Character Guide.

Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is W03 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Other fall on same level due to collision with another person is a non-billable ICD-10-CM category code (W03). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed As (13)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Circumstance phrases from the official ICD-10-CM External Cause of Injuries Index that map to this code.

  • Accident (to), pedestrian (on foot), with, another pedestrian, with fall
  • Bumping against, into (accidentally), person (s), with fall
  • Collision NEC (accidental), pedestrian, with fall
  • Fall, falling (accidental), due to, bumping against, person
  • Fall, falling (accidental), due to, collision with another person
  • Fall, falling (accidental), due to, striking against, person
  • Fall, falling (accidental), same level, from, collision, pushing, shoving, by or with other person
  • Pushed, pushing (accidental) (injury in), by other person (s) (accidental), with fall
  • Striking against, person (s), with fall
  • Struckby (accidentally), other person (s), with, fall
  • Stumbling, over, person, with fall
  • Tackle in sport
  • Tripping, over, person, with fall

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
  2. 10 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 3 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • Not billable as written — a more specific code is required: W03.XXXA, W03.XXXD, W03.XXXS.
  • Requires a 7th character. "The appropriate 7th character is to be added to code W03" Options: W03.XXXA, W03.XXXD, W03.XXXS
  • Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name W03 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 10 Excludes1 notes: V00 — Pedestrian conveyance accident, V00-V09 — Pedestrian injured in transport accident (V00-V09), V01 — Pedestrian injured in collision with pedal cycle, V02 — Pedestrian injured in collision with two- or three-wheeled motor vehicle, V03 — Pedestrian injured in collision with car, pick-up truck or van, V04 — Pedestrian injured in collision with heavy transport vehicle or bus, V05 — Pedestrian injured in collision with railway train or railway vehicle, V06 — Pedestrian injured in collision with other nonmotor vehicle, V09 — Pedestrian injured in other and unspecified transport accidents, W51 — Accidental striking against or bumped into by another person.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Contextual Map

Every relationship of W03 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run W03 with these 15 related codes in Claim Check

Hierarchy

Excludes1 (21)

Excludes2

Referenced by Excludes1 notes (10)

External cause index (13)

  • Accident (to), pedestrian (on foot), with, another pedestrian, with fall[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
  • Bumping against, into (accidentally), person (s), with fall[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
  • Collision NEC (accidental), pedestrian, with fall[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
  • Fall, falling (accidental), due to, bumping against, person[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
  • Fall, falling (accidental), due to, collision with another person[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
  • Fall, falling (accidental), due to, striking against, person[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
  • Fall, falling (accidental), same level, from, collision, pushing, shoving, by or with other person[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
  • Pushed, pushing (accidental) (injury in), by other person (s) (accidental), with fall[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
  • and 5 more

Nearest codes

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Can W03 be billed directly?

No. W03 (Other fall on same level due to collision with another person) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does W03 require a 7th character?

Yes. The appropriate 7th character is to be added to code W03; A: initial encounter; D: subsequent encounter; S: sequela.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Other fall on same level due to collision with another person

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to W03 in its code family, with their registry titles.