Non-Billable / Non-Specific Code
ICD-10-CM W13 is the diagnosis code for Fall from, out of or through building or structure. This code falls under the section "Slipping, tripping, stumbling and falls" within Chapter 20 — External causes of morbidity (V00-Y99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where W13 sits in the ICD-10-CM classification helps ensure proper coding:
No, W13 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
W13 is the ICD-10-CM diagnosis code for "Fall from, out of or through building or structure". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
W13 is located in Section W00-W19 — "Slipping, tripping, stumbling and falls" within Chapter 20 of the ICD-10-CM Tabular List.
W13 has 7 sub-code(s) that provide more specific detail: W13.0, W13.1, W13.2, W13.3, W13.4 and more.
Use W13 when the patients documented diagnosis matches "Fall from, out of or through building or structure" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Fall from, out of or through building or structure is W13.
No, W13 is non-billable. Use a more specific sub-code for primary diagnosis billing.
W13 is in Chapter 20 of the ICD-10-CM Tabular List.
Yes, W13 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.