Coding and coverage · ICD-10-CM

W03

W03.XXXS Other fall on same level due to collision with another person, sequela

BillableNo payment HCCChapter 20

7th character S: sequela

Instructional notes

Chapter 20

Notes
  • This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.

W03

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • collision with another person without fall (W51)
  • crushed or pushed by a crowd or human stampede (W52)
  • fall involving pedestrian conveyance (V00-V09)
  • fall due to ice or snow (W00)
  • fall on same level NOS (W18.30)
Inclusion terms
  • Fall due to non-transport collision with other person
7th charactersThe appropriate 7th character is to be added to code W03
  • A initial encounter
  • D subsequent encounter
  • S sequela

Chapter 20: External causes of morbidity · V00-X58 Accidents (V00-X58)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.