October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

W05 Fall from non-moving wheelchair, nonmotorized scooter and motorized mobility scooter

All 9 codes in the W05 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

9

Can lead a claim

0

Cannot lead a claim

9

What CMS assigns to W05

None of the 9 codes is assigned a clinical group. None of the 9 is assigned a comorbidity subgroup. None can lead a claim.

Every code in W05

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W05.0 Fall from non-moving wheelchair
W05.0XXAFall from non-moving wheelchair, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W05.0XXDFall from non-moving wheelchair, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W05.0XXSFall from non-moving wheelchair, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W05.1 Fall from non-moving nonmotorized scooter
W05.1XXAFall from non-moving nonmotorized scooter, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W05.1XXDFall from non-moving nonmotorized scooter, subsequent encounterCMS: Fall from non-moving nonmotorized scooter, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W05.1XXSFall from non-moving nonmotorized scooter, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W05.2 Fall from non-moving motorized mobility scooter
W05.2XXAFall from non-moving motorized mobility scooter, initial encounterCMS: Fall from non-moving motorized mobility scooter, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W05.2XXDFall from non-moving motorized mobility scooter, subsequent encounterCMS: Fall from non-moving motorized mobility scooter, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W05.2XXSFall from non-moving motorized mobility scooter, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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