ICDcodes.org
FY2027

W13.3XXSFall through floor, sequela

Billable

Is W13.3XXS billable?

Yes — W13.3XXS is billable for FY2027. W13.3XXS is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. W13.3XXS may be submitted for encounters from October 1, 2026 through September 30, 2027.

W13.3XXS at a glance

CodeW13.3XXS
DescriptionFall through floor, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in W13.3XXS?

In W13.3XXS, the 7th character S means sequela. The 7th character is required for W13.3XXS to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

How is W13.3XXS listed in the External Cause Index?

The External Cause of Injuries Index lists these routes under W13.3, the nearest indexed parent of W13.3XXS. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.

  • Fall, fallingthroughfloor (accidental)

Excludes1 — never code together — inherited from W00-W19

The conditions below can never be reported together with W13.3XXS 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 W13.3XXS, but a patient may have both at the same time. When documentation supports it, W13.3XXS 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 W13.3XXS existed?

W13.3XXS 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.