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

W18 Other slipping, tripping and stumbling and falls

All 45 codes in the W18 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

45

Can lead a claim

0

Cannot lead a claim

45

What CMS assigns to W18

None of the 45 codes is assigned a clinical group. None of the 45 is assigned a comorbidity subgroup. None can lead a claim.

Every code in W18

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W18.0 Fall due to bumping against object
W18.00 Striking against unspecified object with subsequent fall
W18.00XAStriking against unspecified object with subsequent fall, initial encounterCMS: Striking against unsp object w subsequent fall, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.00XDStriking against unspecified object with subsequent fall, subsequent encounterCMS: Striking against unsp object w subsequent fall, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.00XSStriking against unspecified object with subsequent fall, sequelaCMS: Striking against unsp object with subsequent fall, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.01 Striking against sports equipment with subsequent fall
W18.01XAStriking against sports equipment with subsequent fall, initial encounterCMS: Striking against sports equipment w subsequent fall, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.01XDStriking against sports equipment with subsequent fall, subsequent encounterCMS: Striking against sports equipment w subsequent fall, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.01XSStriking against sports equipment with subsequent fall, sequelaCMS: Striking against sports equipment w subsequent fall, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.02 Striking against glass with subsequent fall
W18.02XAStriking against glass with subsequent fall, initial encounterCMS: Striking against glass with subsequent fall, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.02XDStriking against glass with subsequent fall, subsequent encounterCMS: Striking against glass with subsequent fall, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.02XSStriking against glass with subsequent fall, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.09 Striking against other object with subsequent fall
W18.09XAStriking against other object with subsequent fall, initial encounterCMS: Striking against oth object w subsequent fall, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.09XDStriking against other object with subsequent fall, subsequent encounterCMS: Striking against oth object w subsequent fall, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.09XSStriking against other object with subsequent fall, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.1 Fall from or off toilet
W18.11 Fall from or off toilet without subsequent striking against object
W18.11XAFall from or off toilet without subsequent striking against object, initial encounterCMS: Fall from or off toilet w/o strike against object, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.11XDFall from or off toilet without subsequent striking against object, subsequent encounterCMS: Fall from or off toilet w/o strike against object, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.11XSFall from or off toilet without subsequent striking against object, sequelaCMS: Fall from or off toilet w/o strike against object, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.12 Fall from or off toilet with subsequent striking against object
W18.12XAFall from or off toilet with subsequent striking against object, initial encounterCMS: Fall from or off toilet w strike against object, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.12XDFall from or off toilet with subsequent striking against object, subsequent encounterCMS: Fall from or off toilet w strike against object, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.12XSFall from or off toilet with subsequent striking against object, sequelaCMS: Fall from or off toilet w strike against object, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.2 Fall in (into) shower or empty bathtub
W18.2XXAFall in (into) shower or empty bathtub, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.2XXDFall in (into) shower or empty bathtub, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.2XXSFall in (into) shower or empty bathtub, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.3 Other and unspecified fall on same level
W18.30 Fall on same level, unspecified
W18.30XAFall on same level, unspecified, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.30XDFall on same level, unspecified, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.30XSFall on same level, unspecified, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.31 Fall on same level due to stepping on an object
W18.31XAFall on same level due to stepping on an object, initial encounterCMS: Fall on same level due to stepping on an object, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.31XDFall on same level due to stepping on an object, subsequent encounterCMS: Fall on same level due to stepping on an object, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.31XSFall on same level due to stepping on an object, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.39 Other fall on same level
W18.39XAOther fall on same level, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.39XDOther fall on same level, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.39XSOther fall on same level, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.4 Slipping, tripping and stumbling without falling
W18.40 Slipping, tripping and stumbling without falling, unspecified
W18.40XASlipping, tripping and stumbling without falling, unspecified, initial encounterCMS: Slipping, tripping and stumbling w/o falling, unsp, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.40XDSlipping, tripping and stumbling without falling, unspecified, subsequent encounterCMS: Slipping, tripping and stumbling w/o falling, unsp, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.40XSSlipping, tripping and stumbling without falling, unspecified, sequelaCMS: Slipping, tripping and stumbling w/o falling, unsp, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.41 Slipping, tripping and stumbling without falling due to stepping on object
W18.41XASlipping, tripping and stumbling without falling due to stepping on object, initial encounterCMS: Slip/trip w/o falling due to stepping on object, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.41XDSlipping, tripping and stumbling without falling due to stepping on object, subsequent encounterCMS: Slip/trip w/o falling due to stepping on object, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.41XSSlipping, tripping and stumbling without falling due to stepping on object, sequelaCMS: Slip/trip w/o falling due to stepping on object, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.42 Slipping, tripping and stumbling without falling due to stepping into hole or opening
W18.42XASlipping, tripping and stumbling without falling due to stepping into hole or opening, initial encounterCMS: Slip/trip w/o falling due to step into hole or opening, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.42XDSlipping, tripping and stumbling without falling due to stepping into hole or opening, subsequent encounterCMS: Slip/trip w/o falling due to step into hole or opening, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.42XSSlipping, tripping and stumbling without falling due to stepping into hole or opening, sequelaCMS: Slip/trip w/o fall due to step into hole or opening, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.43 Slipping, tripping and stumbling without falling due to stepping from one level to another
W18.43XASlipping, tripping and stumbling without falling due to stepping from one level to another, initial encounterCMS: Slip/trip w/o fall d/t step from one level to another, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.43XDSlipping, tripping and stumbling without falling due to stepping from one level to another, subsequent encounterCMS: Slip/trip w/o fall d/t step from one level to another, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.43XSSlipping, tripping and stumbling without falling due to stepping from one level to another, sequelaCMS: Slip/trip w/o fall d/t step from one level to another, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.49 Other slipping, tripping and stumbling without falling
W18.49XAOther slipping, tripping and stumbling without falling, initial encounterCMS: Oth slipping, tripping and stumbling w/o falling, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.49XDOther slipping, tripping and stumbling without falling, subsequent encounterCMS: Oth slipping, tripping and stumbling w/o falling, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W18.49XSOther slipping, tripping and stumbling without falling, sequelaCMS: Other slipping, tripping and stumbling w/o falling, 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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