Question 1

Is W05 a billable ICD-10 code?

Accepted Answer

No, W05 is not a billable code. It is a category code that requires additional specificity. You must select a more specific code from the subcategories for billing purposes.

Question 2

What does ICD-10 code W05 mean?

Accepted Answer

ICD-10-CM code W05 represents Fall from non-moving wheelchair, nonmotorized scooter and motorized mobility scooter. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code W05 introduced?

Accepted Answer

Code W05 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code W05?

Accepted Answer

The parent category for W05 is section:W00-W19 (Slipping, tripping, stumbling and falls (W00-W19)). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions are excluded from W05?

Accepted Answer

Code W05 has Type 1 Excludes (mutually exclusive conditions) including: fall from moving wheelchair (powered) (V00.811); fall from moving motorized mobility scooter (V00.831); fall from nonmotorized scooter (V00.141). These conditions cannot be coded together with W05 as they represent different diagnoses.

Question 6

Does W05 require a 7th character extension?

Accepted Answer

Yes, W05 requires a 7th character to specify the encounter type. Available extensions include: A (initial encounter), D (subsequent encounter), S (sequela). Use "X" as a placeholder to fill empty positions before the 7th character (e.g., W05XXA for initial encounter). The extension indicates whether this is an initial visit, follow-up, or treatment for a late effect.

W052026

Excludes18Not coded together

Excludes23Not included here

Notes1Additional information

7th Character Extensions3Encounter type specifiers