2020 ICD-10-CM Diagnosis Code W12

Fall on and from scaffolding

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • W12 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM W12 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of W12 - other international versions of ICD-10 W12 may differ.
ICD-10-CM Coding Rules
  • W12 describes the circumstance causing an injury, not the nature of the injury.
The following code(s) above W12 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to W12:
  • V00-Y99
    2020 ICD-10-CM Range V00-Y99

    External causes of morbidity

    Note
    • 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.
    External causes of morbidity
  • W00-W19
    2020 ICD-10-CM Range W00-W19

    Slipping, tripping, stumbling and falls

    Type 1 Excludes
    • 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)
    Type 2 Excludes
    • at risk for fall (history of fall) Z91.81
    • fall (in) (from) burning building (X00.-)
    • fall into fire (X00-X04, X08)
    Slipping, tripping, stumbling and falls
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

External Cause Index entries containing back-references to W12:
  • Breakage (accidental) (part of)
    • scaffolding W12 (causing fall)
  • Fall, falling (accidental) W19
    ICD-10-CM Diagnosis Code W19

    Unspecified fall

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Accidental fall NOS

ICD-10-CM Codes Adjacent To W12
W10.8XXD …… subsequent encounter
W10.8XXS …… sequela
W10.9 Fall (on) (from) unspecified stairs and steps
W10.9XXA …… initial encounter
W10.9XXD …… subsequent encounter
W10.9XXS …… sequela
W11 Fall on and from ladder
W11.XXXA Fall on and from ladder, initial encounter
W11.XXXD Fall on and from ladder, subsequent encounter
W11.XXXS Fall on and from ladder, sequela
W12 Fall on and from scaffolding
W12.XXXA Fall on and from scaffolding, initial encounter
W12.XXXD Fall on and from scaffolding, subsequent encounter
W12.XXXS Fall on and from scaffolding, sequela
W13 Fall from, out of or through building or structure
W13.0 Fall from, out of or through balcony
W13.0XXA …… initial encounter
W13.0XXD …… subsequent encounter
W13.0XXS …… sequela
W13.1 Fall from, out of or through bridge
W13.1XXA …… initial encounter

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.