2026 ICD-10-CM Diagnosis Code W13Fall from, out of or through building or structure

ICD-10-CM CodesV01–Y99W00-W19W13

ICD-10-CM W13
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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

ICD-10-CM Code
W13
Billable Status
No — Non-Billable Category
Code Describes
Fall from, out of or through building or structure
Short Description
Fall from, out of or through building or structure
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
CategoryW13Fall from, out of or through building or structure
This CodeW13Fall from, out of or through building or structure

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

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 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.