Other slipping, tripping and stumbling and falls (W18)

This group of codes in the ICD-10 system, identified by W18, covers a variety of falls, slips, trips, and stumbles that result in injury or risk of injury. These codes specify the situation, such as falling after bumping into objects, falling from a toilet, or slipping in the shower, including whether the incident is a first or subsequent encounter.

The ICD-10 code for other slipping, tripping, and stumbling and falls includes details like striking sports equipment (W18.01), falling on the same level due to stepping on objects or uneven surfaces (W18.31, W18.39), and slipping without falling (W18.40). For example, falls described as "Fall from bump against object" or "Fall on same level from impact against object" correspond to W18.00XA. Codes also distinguish between initial, subsequent, and sequela encounters for accurate clinical documentation. This classification aids healthcare professionals and coders in precisely reporting accidents like falls from toilets or in showers, helping ensure that treatment records reflect the exact circumstances of the injury and facilitating proper data analysis and billing.

  • External causes of morbidity and mortality (V01–Y99)

    • Slipping, tripping, stumbling and falls (W00-W19)

        • Other slipping, tripping and stumbling and falls (W18)

        • W18 Other slipping, tripping and stumbling and falls
        • W18.0 Fall due to bumping against object
        • W18.00 Striking against unspecified object with subsequent fall
        • W18.00XA Striking against unspecified object with subsequent fall, initial encounter
        • W18.00XD Striking against unspecified object with subsequent fall, subsequent encounter
        • W18.00XS Striking against unspecified object with subsequent fall, sequela
        • W18.01 Striking against sports equipment with subsequent fall
        • W18.01XA Striking against sports equipment with subsequent fall, initial encounter
        • W18.01XD Striking against sports equipment with subsequent fall, subsequent encounter
        • W18.01XS Striking against sports equipment with subsequent fall, sequela
        • W18.02 Striking against glass with subsequent fall
        • W18.02XA Striking against glass with subsequent fall, initial encounter
        • W18.02XD Striking against glass with subsequent fall, subsequent encounter
        • W18.02XS Striking against glass with subsequent fall, sequela
        • W18.09 Striking against other object with subsequent fall
        • W18.09XA Striking against other object with subsequent fall, initial encounter
        • W18.09XD Striking against other object with subsequent fall, subsequent encounter
        • W18.09XS Striking against other object with subsequent fall, sequela
        • W18.1 Fall from or off toilet
        • W18.11 Fall from or off toilet without subsequent striking against object
        • W18.11XA Fall from or off toilet without subsequent striking against object, initial encounter
        • W18.11XD Fall from or off toilet without subsequent striking against object, subsequent encounter
        • W18.11XS Fall from or off toilet without subsequent striking against object, sequela
        • W18.12 Fall from or off toilet with subsequent striking against object
        • W18.12XA Fall from or off toilet with subsequent striking against object, initial encounter
        • W18.12XD Fall from or off toilet with subsequent striking against object, subsequent encounter
        • W18.12XS Fall from or off toilet with subsequent striking against object, sequela
        • W18.2 Fall in (into) shower or empty bathtub
        • W18.2XXA Fall in (into) shower or empty bathtub, initial encounter
        • W18.2XXD Fall in (into) shower or empty bathtub, subsequent encounter
        • W18.2XXS Fall in (into) shower or empty bathtub, sequela
        • W18.3 Other and unspecified fall on same level
        • W18.30 Fall on same level, unspecified
        • W18.30XA Fall on same level, unspecified, initial encounter
        • W18.30XD Fall on same level, unspecified, subsequent encounter
        • W18.30XS Fall on same level, unspecified, sequela
        • W18.31 Fall on same level due to stepping on an object
        • W18.31XA Fall on same level due to stepping on an object, initial encounter
        • W18.31XD Fall on same level due to stepping on an object, subsequent encounter
        • W18.31XS Fall on same level due to stepping on an object, sequela
        • W18.39 Other fall on same level
        • W18.39XA Other fall on same level, initial encounter
        • W18.39XD Other fall on same level, subsequent encounter
        • W18.39XS Other fall on same level, sequela
        • W18.4 Slipping, tripping and stumbling without falling
        • W18.40 Slipping, tripping and stumbling without falling, unspecified
        • W18.40XA Slipping, tripping and stumbling without falling, unspecified, initial encounter
        • W18.40XD Slipping, tripping and stumbling without falling, unspecified, subsequent encounter
        • W18.40XS Slipping, tripping and stumbling without falling, unspecified, sequela
        • W18.41 Slipping, tripping and stumbling without falling due to stepping on object
        • W18.41XA Slipping, tripping and stumbling without falling due to stepping on object, initial encounter
        • W18.41XD Slipping, tripping and stumbling without falling due to stepping on object, subsequent encounter
        • W18.41XS Slipping, tripping and stumbling without falling due to stepping on object, sequela
        • W18.42 Slipping, tripping and stumbling without falling due to stepping into hole or opening
        • W18.42XA Slipping, tripping and stumbling without falling due to stepping into hole or opening, initial encounter
        • W18.42XD Slipping, tripping and stumbling without falling due to stepping into hole or opening, subsequent encounter
        • W18.42XS Slipping, tripping and stumbling without falling due to stepping into hole or opening, sequela
        • W18.43 Slipping, tripping and stumbling without falling due to stepping from one level to another
        • W18.43XA Slipping, tripping and stumbling without falling due to stepping from one level to another, initial encounter
        • W18.43XD Slipping, tripping and stumbling without falling due to stepping from one level to another, subsequent encounter
        • W18.43XS Slipping, tripping and stumbling without falling due to stepping from one level to another, sequela
        • W18.49 Other slipping, tripping and stumbling without falling
        • W18.49XA Other slipping, tripping and stumbling without falling, initial encounter
        • W18.49XD Other slipping, tripping and stumbling without falling, subsequent encounter
        • W18.49XS Other slipping, tripping and stumbling without falling, sequela

Instructional Notations

7th Character Note

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.

  • The appropriate 7th character is to be added to each code from category W18

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

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