W00.1 — Fall from stairs and steps due to ice and snow
W00.1 is a non-billable header ICD-10-CM code for fall from stairs and steps due to ice and snow. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category W00
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with W00.1
These codes carry an Excludes1 note pointing at W00.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W00.1 alone.
- W10Fall on and from stairs and steps
Risk adjustment
W00.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How W00.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to W00.1.
- Fall, falling›from, off, out of›stairs, steps›due to ice or snow
- Fall, falling›in, on›staircase, stairs, steps›due to ice or snow
- Fall, falling›due to›ice or snow›from one level to another›on stairs or steps
Code to one of these instead W00.1
3 child codes. Green means billable.
Related codes at this level
Codes that share W00. If W00.1 is not quite right, the correct code is usually one of these.
Questions about W00.1
- Is W00.1 a billable ICD-10-CM code?
- No. W00.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W00.1 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).