W18.49XD ICD-10-CM Code: Other slipping, tripping and stumbling without falling, subsequent encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for W18.49XD in the official ICD-10-CM tabular list.
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).
- collision with another person without fall (W51) Compare W18.49XD vs W51 →
- assault involving a fall (Y01-Y02) Compare W18.49XD vs Y01 →
- fall from animal (V80.-) Compare W18.49XD vs V80 →
- fall (in) (from) machinery (in operation) (W28-W31) Compare W18.49XD vs W28 →
- fall (in) (from) transport vehicle (V01-V99) Compare W18.49XD vs V01 →
- intentional self-harm involving a fall (X80-X81) Compare W18.49XD vs X80 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- at risk for fall (history of fall) Z91.81
- fall (in) (from) burning building (X00.-) Compare W18.49XD vs X00 →
- fall into fire (X00-X04, X08) Compare W18.49XD vs X00 →
Frequently Compared Codes
The official Excludes notes on W18.49XD name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- 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.
Relationships & Classification
Other codes that name W18.49XD 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.
1 Excludes1 notes: W01 (via W18.4.-).
Clinical classification (AHRQ CCSR):EXT029 — External cause codes: subsequent encounter.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (External cause codes: subsequent encounter).
Contextual Map
Every relationship of W18.49XD 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.
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99) [Hierarchy]
- W00-X58 — Other external causes of accidental injury [Hierarchy]
- W00-W19 — Slipping, tripping, stumbling and falls [Hierarchy]
Referenced by Excludes1 notes
- W01 — Fall on same level from slipping, tripping and stumbling [Excludes1](via W18.4.-): “slipping, tripping and stumbling without falling (W18.4-)” · check together
Clinical classification (CCSR)
- EXT029 — External cause codes: subsequent encounter [CCSR]
Nearest codes (40)
- W18 — Other slipping, tripping and stumbling and falls [Sibling]
- W18.12XA — Fall from or off toilet with subsequent striking against object, initial encounter [Sibling]
- W18.12XD — Fall from or off toilet with subsequent striking against object, subsequent encounter [Sibling]
- W18.12XS — Fall from or off toilet with subsequent striking against object, sequela [Sibling]
- W18.2 — Fall in (into) shower or empty bathtub [Sibling]
- W18.2XXA — Fall in (into) shower or empty bathtub, initial encounter [Sibling]
- W18.2XXD — Fall in (into) shower or empty bathtub, subsequent encounter [Sibling]
- W18.2XXS — Fall in (into) shower or empty bathtub, sequela [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does W18.49XD require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category W18.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to W18.49XD in its code family, with their registry titles.
- W18.42 — Slipping, tripping and stumbling without falling due to stepping into hole or opening
- W18.42XA — Slipping, tripping and stumbling without falling due to stepping into hole or opening, initial encounter
- W18.42XD — Slipping, tripping and stumbling without falling due to stepping into hole or opening, subsequent encounter
- W18.42XS — Slipping, tripping and stumbling without falling due to stepping into hole or opening, sequela
- W18.43 — Slipping, tripping and stumbling without falling due to stepping from one level to another
- W18.43XA — Slipping, tripping and stumbling without falling due to stepping from one level to another, initial encounter
- W18.43XD — Slipping, tripping and stumbling without falling due to stepping from one level to another, subsequent encounter
- W18.43XS — Slipping, tripping and stumbling without falling due to stepping from one level to another, sequela
- W18.49 — Other slipping, tripping and stumbling without falling
- W18.49XA — Other slipping, tripping and stumbling without falling, initial encounter