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

W17 Other fall from one level to another

All 24 codes in the W17 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

24

Can lead a claim

0

Cannot lead a claim

24

What CMS assigns to W17

None of the 24 codes is assigned a clinical group. None of the 24 is assigned a comorbidity subgroup. None can lead a claim.

Every code in W17

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W17.0 Fall into well
W17.0XXAFall into well, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.0XXDFall into well, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.0XXSFall into well, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.1 Fall into storm drain or manhole
W17.1XXAFall into storm drain or manhole, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.1XXDFall into storm drain or manhole, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.1XXSFall into storm drain or manhole, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.2 Fall into hole
W17.2XXAFall into hole, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.2XXDFall into hole, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.2XXSFall into hole, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.3 Fall into empty swimming pool
W17.3XXAFall into empty swimming pool, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.3XXDFall into empty swimming pool, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.3XXSFall into empty swimming pool, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.4 Fall from dock
W17.4XXAFall from dock, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.4XXDFall from dock, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.4XXSFall from dock, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.8 Other fall from one level to another
W17.81 Fall down embankment (hill)
W17.81XAFall down embankment (hill), initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.81XDFall down embankment (hill), subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.81XSFall down embankment (hill), sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.82 Fall from (out of) grocery cart
W17.82XAFall from (out of) grocery cart, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.82XDFall from (out of) grocery cart, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.82XSFall from (out of) grocery cart, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.89 Other fall from one level to another
W17.89XAOther fall from one level to another, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.89XDOther fall from one level to another, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W17.89XSOther fall from one level to another, 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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