W11
W11 — Fall on and from ladder
Non-billable headerICD-10-CM
W11 is a non-billable header ICD-10-CM code for fall on and from ladder. 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 code W11
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
W11 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 W11 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 W11.
- Breakage›ladder(causing fall)
- Fall, falling›down›ladder
- Fall, falling›from, off, out of›ladder
- Fall, falling›from, off, out of›stepladder
- Fall, falling›in, on›ladder
Code to one of these instead W11
3 child codes. Green means billable.
Questions about W11
- Is W11 a billable ICD-10-CM code?
- No. W11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W11 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).