ICDcodes.org
FY2027

W12.XXXDFall on and from scaffolding, subsequent encounter

Billable

Is W12.XXXD billable?

Yes — W12.XXXD is billable for FY2027. W12.XXXD is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. W12.XXXD may be submitted for encounters from October 1, 2026 through September 30, 2027.

W12.XXXD at a glance

CodeW12.XXXD
DescriptionFall on and from scaffolding, subsequent encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

How is W12.XXXD listed in the External Cause Index?

The External Cause of Injuries Index lists these routes under W12, the nearest indexed parent of W12.XXXD. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.

  • Breakagescaffolding (accidental) (part of)
  • Fall, fallingfrom, off, out ofscaffolding (accidental)
  • Fall, fallingin, onscaffolding (accidental)

Excludes1 — never code together — inherited from W00-W19

The conditions below can never be reported together with W12.XXXD on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • assault involving a fall (Y01-Y02)
  • fall from animal (V80.-)
  • fall (in) (from) machinery (in operation) (W28-W31)
  • fall (in) (from) transport vehicle (V01-V99)
  • intentional self-harm involving a fall (X80-X81)

Excludes2 — not included here — inherited from W00-W19

The conditions below are not part of W12.XXXD, but a patient may have both at the same time. When documentation supports it, W12.XXXD and the excluded code may both be reported.

  • at risk for fall (history of fall) Z91.81
  • fall (in) (from) burning building (X00.-)
  • fall into fire (X00-X04, X08)

How long has W12.XXXD existed?

W12.XXXD has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the W12 family? (2)