ICDcodes.org
FY2027

W18.1Fall from or off toilet

Not billable

Is W18.1 billable?

No — W18.1 is a non-billable header code. W18.1 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 6 billable codes beneath W18.1.

W18.1 at a glance

CodeW18.1
DescriptionFall from or off toilet
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together — inherited from W00-W19

The conditions below can never be reported together with W18.1 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 W18.1, but a patient may have both at the same time. When documentation supports it, W18.1 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)

What codes fall under W18.1? (2)

How long has W18.1 existed?

W18.1 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 W18 family? (4)