2026 ICD-10-CM Diagnosis Code W13Fall from, out of or through building or structure
W13 is a non-billable ICD-10-CM category code for fall from, out of or through building or structure, so it cannot be submitted on claims. Use a more specific code from this category instead, such as W13.0XXA, W13.0XXD, W13.0XXS, and W13.1XXA.
Code Identity
Code Classification
Specific Coding for Fall from, out of or through building or structureOverview
Non-specific codes like W13 require more characters. Use one of these billable codes instead:
W13.0 for Fall from, out of or through balcony
W13.1 for Fall from, out of or through bridge
W13.2 for Fall from, out of or through roof
W13.3 for Fall through floor
W13.4 for Fall from, out of or through window
W13.8 for Fall from, out of or through other building or structure
W13.9 for Fall from, out of or through building, not otherwise specified
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 each code from category W13
7th Character
- A - initial encounter
- D - subsequent encounter
- S - sequela
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
Indicates that a seventh character is to be assigned to codes in a subcategory.
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
Questions About W13Overview
Is W13 (Fall from, out of or through building or structure) a billable code?
No. This is a category header that groups the codes for fall from, out of or through building or structure, and headers cannot be submitted on claims. Claims for fall from, out of or through building or structure need a more specific code from this category, such as W13.0XXA, W13.0XXD, and W13.0XXS.
