2026 ICD-10-CM Diagnosis Code W12Fall on and from scaffolding

ICD-10-CM CodesV01–Y99W00-W19W12

ICD-10-CM W12
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

W12 is a non-billable ICD-10-CM category code for fall on and from scaffolding, so it cannot be submitted on claims. Use a more specific code from this category instead, such as W12.XXXA, W12.XXXD, and W12.XXXS.

Code Identity

ICD-10-CM Code
W12
Billable Status
No — Non-Billable Category
Code Describes
Fall on and from scaffolding
Short Description
Fall on and from scaffolding
Same as the full description in the CMS dataset.
Chapter
W00-W19
Slipping, tripping, stumbling and falls

Code Classification

ChapterV01–Y99External causes of morbidity and mortality
SectionW00-W19Slipping, tripping, stumbling and falls
CategoryW12Fall on and from scaffolding
This CodeW12Fall on and from scaffolding

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

7th Character Note

  • The appropriate 7th character is to be added to code W12

7th Character

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

Patient EducationClinical

Falls

Falls can be dangerous at any age. Babies and young children can get hurt falling off furniture or down the stairs. Older children may fall off playground equipment. For older adults, falls can be especially serious. They are at higher risk of falling.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About W12Overview

Is W12 (Fall on and from scaffolding) a billable code?

No. This is a category header that groups the codes for fall on and from scaffolding, and headers cannot be submitted on claims. Claims for fall on and from scaffolding need a more specific code from this category, such as W12.XXXA, W12.XXXD, and W12.XXXS.