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

W00-W19 — Other external causes of accidental injury

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

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

Codes in range

330

No clinical group

330

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

None of the 330 codes in W00-W19 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.

Code families in W00-W19

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in W00-W19

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
W000XXAFall on same level due to ice and snow, initial encounterNoneCannot lead a claim
W000XXDFall on same level due to ice and snow, subsequent encounterNoneCannot lead a claim
W000XXSFall on same level due to ice and snow, sequelaNoneCannot lead a claim
W001XXAFall from stairs and steps due to ice and snow, init encntrNoneCannot lead a claim
W001XXDFall from stairs and steps due to ice and snow, subs encntrNoneCannot lead a claim
W001XXSFall from stairs and steps due to ice and snow, sequelaNoneCannot lead a claim
W002XXAOth fall from one level to another due to ice and snow, initNoneCannot lead a claim
W002XXDOth fall from one level to another due to ice and snow, subsNoneCannot lead a claim
W002XXSOth fall from one level to another due to ice and snow, sqlaNoneCannot lead a claim
W009XXAUnspecified fall due to ice and snow, initial encounterNoneCannot lead a claim
W009XXDUnspecified fall due to ice and snow, subsequent encounterNoneCannot lead a claim
W009XXSUnspecified fall due to ice and snow, sequelaNoneCannot lead a claim
W010XXAFall same lev from slip/trip w/o strike against object, initNoneCannot lead a claim
W010XXDFall same lev from slip/trip w/o strike against object, subsNoneCannot lead a claim
W010XXSFall same lev from slip/trip w/o strike agnst object, sqlaNoneCannot lead a claim
W0110XAFall same lev from slip/trip w strike agnst unsp obj, initNoneCannot lead a claim
W0110XDFall same lev from slip/trip w strike agnst unsp obj, subsNoneCannot lead a claim
W0110XSFall same lev from slip/trip w strike agnst unsp obj, sqlaNoneCannot lead a claim
W01110AFall same lev from slip/trip w strk agnst sharp glass, initNoneCannot lead a claim
W01110DFall same lev from slip/trip w strk agnst sharp glass, subsNoneCannot lead a claim
W01110SFall same lev from slip/trip w strk agnst sharp glass, sqlaNoneCannot lead a claim
W01111AFall same lev from slip/trip w strk agnst pwr tl/machn, initNoneCannot lead a claim
W01111DFall same lev from slip/trip w strk agnst pwr tl/machn, subsNoneCannot lead a claim
W01111SFall same lev from slip/trip w strk agnst pwr tl/machn, sqlaNoneCannot lead a claim
W01118AFall same lev fr slip/trip w strk agnst oth sharp obj, initNoneCannot lead a claim
W01118DFall same lev fr slip/trip w strk agnst oth sharp obj, subsNoneCannot lead a claim
W01118SFall same lev fr slip/trip w strk agnst oth sharp obj, sqlaNoneCannot lead a claim
W01119AFall same lev fr slip/trip w strk agnst unsp sharp obj, initNoneCannot lead a claim
W01119DFall same lev fr slip/trip w strk agnst unsp sharp obj, subsNoneCannot lead a claim
W01119SFall same lev fr slip/trip w strk agnst unsp sharp obj, sqlaNoneCannot lead a claim
W01190AFall same lev from slip/trip w strike agnst furniture, initNoneCannot lead a claim
W01190DFall same lev from slip/trip w strike agnst furniture, subsNoneCannot lead a claim
W01190SFall same lev from slip/trip w strike agnst furniture, sqlaNoneCannot lead a claim
W01198AFall same lev from slip/trip w strike agnst oth object, initNoneCannot lead a claim
W01198DFall same lev from slip/trip w strike agnst oth object, subsNoneCannot lead a claim
W01198SFall same lev from slip/trip w strike agnst oth object, sqlaNoneCannot lead a claim
W03XXXAOth fall same lev due to collision w another person, initNoneCannot lead a claim
W03XXXDOth fall same lev due to collision w another person, subsNoneCannot lead a claim
W03XXXSOth fall same lev due to collision w another person, sequelaNoneCannot lead a claim
W04XXXAFall while being carried or supported by oth persons, initNoneCannot lead a claim
W04XXXDFall while being carried or supported by oth persons, subsNoneCannot lead a claim
W04XXXSFall while being carried or supported by oth persons, sqlaNoneCannot lead a claim
W050XXAFall from non-moving wheelchair, initial encounterNoneCannot lead a claim
W050XXDFall from non-moving wheelchair, subsequent encounterNoneCannot lead a claim
W050XXSFall from non-moving wheelchair, sequelaNoneCannot lead a claim
W051XXAFall from non-moving nonmotorized scooter, initial encounterNoneCannot lead a claim
W051XXDFall from non-moving nonmotorized scooter, subs encntrNoneCannot lead a claim
W051XXSFall from non-moving nonmotorized scooter, sequelaNoneCannot lead a claim
W052XXAFall from non-moving motorized mobility scooter, init encntrNoneCannot lead a claim
W052XXDFall from non-moving motorized mobility scooter, subs encntrNoneCannot lead a claim
W052XXSFall from non-moving motorized mobility scooter, sequelaNoneCannot lead a claim
W06XXXAFall from bed, initial encounterNoneCannot lead a claim
W06XXXDFall from bed, subsequent encounterNoneCannot lead a claim
W06XXXSFall from bed, sequelaNoneCannot lead a claim
W07XXXAFall from chair, initial encounterNoneCannot lead a claim
W07XXXDFall from chair, subsequent encounterNoneCannot lead a claim
W07XXXSFall from chair, sequelaNoneCannot lead a claim
W08XXXAFall from other furniture, initial encounterNoneCannot lead a claim
W08XXXDFall from other furniture, subsequent encounterNoneCannot lead a claim
W08XXXSFall from other furniture, sequelaNoneCannot lead a claim
W090XXAFall on or from playground slide, initial encounterNoneCannot lead a claim
W090XXDFall on or from playground slide, subsequent encounterNoneCannot lead a claim
W090XXSFall on or from playground slide, sequelaNoneCannot lead a claim
W091XXAFall from playground swing, initial encounterNoneCannot lead a claim
W091XXDFall from playground swing, subsequent encounterNoneCannot lead a claim
W091XXSFall from playground swing, sequelaNoneCannot lead a claim
W092XXAFall on or from jungle gym, initial encounterNoneCannot lead a claim
W092XXDFall on or from jungle gym, subsequent encounterNoneCannot lead a claim
W092XXSFall on or from jungle gym, sequelaNoneCannot lead a claim
W098XXAFall on or from other playground equipment, init encntrNoneCannot lead a claim
W098XXDFall on or from other playground equipment, subs encntrNoneCannot lead a claim
W098XXSFall on or from other playground equipment, sequelaNoneCannot lead a claim
W100XXAFall (on)(from) escalator, initial encounterNoneCannot lead a claim
W100XXDFall (on)(from) escalator, subsequent encounterNoneCannot lead a claim
W100XXSFall (on)(from) escalator, sequelaNoneCannot lead a claim
W101XXAFall (on)(from) sidewalk curb, initial encounterNoneCannot lead a claim
W101XXDFall (on)(from) sidewalk curb, subsequent encounterNoneCannot lead a claim
W101XXSFall (on)(from) sidewalk curb, sequelaNoneCannot lead a claim
W102XXAFall (on)(from) incline, initial encounterNoneCannot lead a claim
W102XXDFall (on)(from) incline, subsequent encounterNoneCannot lead a claim
W102XXSFall (on)(from) incline, sequelaNoneCannot lead a claim
W108XXAFall (on) (from) other stairs and steps, initial encounterNoneCannot lead a claim
W108XXDFall (on) (from) other stairs and steps, subs encntrNoneCannot lead a claim
W108XXSFall (on) (from) other stairs and steps, sequelaNoneCannot lead a claim
W109XXAFall (on) (from) unspecified stairs and steps, init encntrNoneCannot lead a claim
W109XXDFall (on) (from) unspecified stairs and steps, subs encntrNoneCannot lead a claim
W109XXSFall (on) (from) unspecified stairs and steps, sequelaNoneCannot lead a claim
W11XXXAFall on and from ladder, initial encounterNoneCannot lead a claim
W11XXXDFall on and from ladder, subsequent encounterNoneCannot lead a claim
W11XXXSFall on and from ladder, sequelaNoneCannot lead a claim
W12XXXAFall on and from scaffolding, initial encounterNoneCannot lead a claim
W12XXXDFall on and from scaffolding, subsequent encounterNoneCannot lead a claim
W12XXXSFall on and from scaffolding, sequelaNoneCannot lead a claim
W130XXAFall from, out of or through balcony, initial encounterNoneCannot lead a claim
W130XXDFall from, out of or through balcony, subsequent encounterNoneCannot lead a claim
W130XXSFall from, out of or through balcony, sequelaNoneCannot lead a claim
W131XXAFall from, out of or through bridge, initial encounterNoneCannot lead a claim
W131XXDFall from, out of or through bridge, subsequent encounterNoneCannot lead a claim
W131XXSFall from, out of or through bridge, sequelaNoneCannot lead a claim
W132XXAFall from, out of or through roof, initial encounterNoneCannot lead a claim
W132XXDFall from, out of or through roof, subsequent encounterNoneCannot lead a claim
W132XXSFall from, out of or through roof, sequelaNoneCannot lead a claim
W133XXAFall through floor, initial encounterNoneCannot lead a claim
W133XXDFall through floor, subsequent encounterNoneCannot lead a claim
W133XXSFall through floor, sequelaNoneCannot lead a claim
W134XXAFall from, out of or through window, initial encounterNoneCannot lead a claim
W134XXDFall from, out of or through window, subsequent encounterNoneCannot lead a claim
W134XXSFall from, out of or through window, sequelaNoneCannot lead a claim
W138XXAFall from, out of or through oth building or structure, initNoneCannot lead a claim
W138XXDFall from, out of or through oth building or structure, subsNoneCannot lead a claim
W138XXSFall from, out of or through oth bldg, sequelaNoneCannot lead a claim
W139XXAFall from, out of or through bldg, not otherwise spcf, initNoneCannot lead a claim
W139XXDFall from, out of or through bldg, not otherwise spcf, subsNoneCannot lead a claim
W139XXSFall from, out of or through bldg, not otherwise spcf, sqlaNoneCannot lead a claim
W14XXXAFall from tree, initial encounterNoneCannot lead a claim
W14XXXDFall from tree, subsequent encounterNoneCannot lead a claim
W14XXXSFall from tree, sequelaNoneCannot lead a claim
W15XXXAFall from cliff, initial encounterNoneCannot lead a claim
W15XXXDFall from cliff, subsequent encounterNoneCannot lead a claim
W15XXXSFall from cliff, sequelaNoneCannot lead a claim
W16011AFall into swimming pool striking surfc causing drown, initNoneCannot lead a claim
W16011DFall into swimming pool striking surfc causing drown, subsNoneCannot lead a claim
W16011SFall into swimming pool strk surfc causing drown, sequelaNoneCannot lead a claim
W16012AFall into swimming pool strk surfc causing oth injury, initNoneCannot lead a claim
W16012DFall into swimming pool strk surfc causing oth injury, subsNoneCannot lead a claim
W16012SFall into swim pool strk surfc causing oth injury, sequelaNoneCannot lead a claim
W16021AFall into swimming pool striking bottom causing drown, initNoneCannot lead a claim
W16021DFall into swimming pool striking bottom causing drown, subsNoneCannot lead a claim
W16021SFall into swimming pool strk bottom causing drown, sequelaNoneCannot lead a claim
W16022AFall into swimming pool strk bottom causing oth injury, initNoneCannot lead a claim
W16022DFall into swimming pool strk bottom causing oth injury, subsNoneCannot lead a claim
W16022SFall into swim pool strk bottom causing oth injury, sequelaNoneCannot lead a claim
W16031AFall into swimming pool striking wall causing drown, initNoneCannot lead a claim
W16031DFall into swimming pool striking wall causing drown, subsNoneCannot lead a claim
W16031SFall into swimming pool striking wall causing drown, sequelaNoneCannot lead a claim
W16032AFall into swimming pool strk wall causing oth injury, initNoneCannot lead a claim
W16032DFall into swimming pool strk wall causing oth injury, subsNoneCannot lead a claim
W16032SFall into swim pool strk wall causing oth injury, sequelaNoneCannot lead a claim
W16111AFall into natural body of water strk surfc cause drown, initNoneCannot lead a claim
W16111DFall into natural body of water strk surfc cause drown, subsNoneCannot lead a claim
W16111SFall into natrl body of water strk surfc cause drown, sqlaNoneCannot lead a claim
W16112AFall into natrl body of water strk surfc cause oth inj, initNoneCannot lead a claim
W16112DFall into natrl body of water strk surfc cause oth inj, subsNoneCannot lead a claim
W16112SFall into natrl body of water strk surfc cause oth inj, sqlaNoneCannot lead a claim
W16121AFall into natrl body of water strk bottom cause drown, initNoneCannot lead a claim
W16121DFall into natrl body of water strk bottom cause drown, subsNoneCannot lead a claim
W16121SFall into natrl body of water strk bottom cause drown, sqlaNoneCannot lead a claim
W16122AFall into natrl body of water strk botm cause oth inj, initNoneCannot lead a claim
W16122DFall into natrl body of water strk botm cause oth inj, subsNoneCannot lead a claim
W16122SFall into natrl body of water strk botm cause oth inj, sqlaNoneCannot lead a claim
W16131AFall into natural body of water strk side cause drown, initNoneCannot lead a claim
W16131DFall into natural body of water strk side cause drown, subsNoneCannot lead a claim
W16131SFall into natrl body of water strk side cause drown, sequelaNoneCannot lead a claim
W16132AFall into natrl body of water strk side cause oth inj, initNoneCannot lead a claim
W16132DFall into natrl body of water strk side cause oth inj, subsNoneCannot lead a claim
W16132SFall into natrl body of water strk side cause oth inj, sqlaNoneCannot lead a claim
W16211AFall in (into) filled bathtub causing drown, initNoneCannot lead a claim
W16211DFall in (into) filled bathtub causing drown, subsNoneCannot lead a claim
W16211SFall in (into) filled bathtub causing drown, sequelaNoneCannot lead a claim
W16212AFall in (into) filled bathtub causing oth injury, initNoneCannot lead a claim
W16212DFall in (into) filled bathtub causing oth injury, subsNoneCannot lead a claim
W16212SFall in (into) filled bathtub causing other injury, sequelaNoneCannot lead a claim
W16221AFall in (into) bucket of water causing drown, initNoneCannot lead a claim
W16221DFall in (into) bucket of water causing drown, subsNoneCannot lead a claim
W16221SFall in (into) bucket of water causing drown, sequelaNoneCannot lead a claim
W16222AFall in (into) bucket of water causing oth injury, initNoneCannot lead a claim
W16222DFall in (into) bucket of water causing oth injury, subsNoneCannot lead a claim
W16222SFall in (into) bucket of water causing other injury, sequelaNoneCannot lead a claim
W16311AFall into oth water striking surfc causing drown, initNoneCannot lead a claim
W16311DFall into oth water striking surfc causing drown, subsNoneCannot lead a claim
W16311SFall into oth water striking surfc causing drown, sequelaNoneCannot lead a claim
W16312AFall into oth water striking surfc causing oth injury, initNoneCannot lead a claim
W16312DFall into oth water striking surfc causing oth injury, subsNoneCannot lead a claim
W16312SFall into oth water strk surfc causing oth injury, sequelaNoneCannot lead a claim
W16321AFall into oth water striking bottom causing drown, initNoneCannot lead a claim
W16321DFall into oth water striking bottom causing drown, subsNoneCannot lead a claim
W16321SFall into oth water striking bottom causing drown, sequelaNoneCannot lead a claim
W16322AFall into oth water striking bottom causing oth injury, initNoneCannot lead a claim
W16322DFall into oth water striking bottom causing oth injury, subsNoneCannot lead a claim
W16322SFall into oth water strk bottom causing oth injury, sequelaNoneCannot lead a claim
W16331AFall into oth water striking wall causing drown, initNoneCannot lead a claim
W16331DFall into oth water striking wall causing drown, subsNoneCannot lead a claim
W16331SFall into oth water striking wall causing drown, sequelaNoneCannot lead a claim
W16332AFall into oth water striking wall causing oth injury, initNoneCannot lead a claim
W16332DFall into oth water striking wall causing oth injury, subsNoneCannot lead a claim
W16332SFall into oth water strk wall causing oth injury, sequelaNoneCannot lead a claim
W1641XAFall into unsp water causing drowning and submersion, initNoneCannot lead a claim
W1641XDFall into unsp water causing drowning and submersion, subsNoneCannot lead a claim
W1641XSFall into unsp water causing drown, sequelaNoneCannot lead a claim
W1642XAFall into unsp water causing other injury, init encntrNoneCannot lead a claim
W1642XDFall into unsp water causing other injury, subs encntrNoneCannot lead a claim
W1642XSFall into unspecified water causing other injury, sequelaNoneCannot lead a claim
W16511AJump/div into swimming pool strk surfc causing drown, initNoneCannot lead a claim
W16511DJump/div into swimming pool strk surfc causing drown, subsNoneCannot lead a claim
W16511SJump/div into swim pool strk surfc causing drown, sequelaNoneCannot lead a claim
W16512AJump/div into swim pool strk surfc causing oth injury, initNoneCannot lead a claim
W16512DJump/div into swim pool strk surfc causing oth injury, subsNoneCannot lead a claim
W16512SJump/div into swim pool strk surfc cause oth injury, sequelaNoneCannot lead a claim
W16521AJump/div into swimming pool strk bottom causing drown, initNoneCannot lead a claim
W16521DJump/div into swimming pool strk bottom causing drown, subsNoneCannot lead a claim
W16521SJump/div into swim pool strk bottom causing drown, sequelaNoneCannot lead a claim
W16522AJump/div into swim pool strk bottom causing oth injury, initNoneCannot lead a claim
W16522DJump/div into swim pool strk bottom causing oth injury, subsNoneCannot lead a claim
W16522SJump/div into swim pool strk bottom cause oth injury, sqlaNoneCannot lead a claim
W16531AJump/div into swimming pool strk wall causing drown, initNoneCannot lead a claim
W16531DJump/div into swimming pool strk wall causing drown, subsNoneCannot lead a claim
W16531SJump/div into swimming pool strk wall causing drown, sequelaNoneCannot lead a claim
W16532AJump/div into swim pool strk wall causing oth injury, initNoneCannot lead a claim
W16532DJump/div into swim pool strk wall causing oth injury, subsNoneCannot lead a claim
W16532SJump/div into swim pool strk wall cause oth injury, sequelaNoneCannot lead a claim
W16611AJump/div into natrl body of wtr strk surfc cause drown, initNoneCannot lead a claim
W16611DJump/div into natrl body of wtr strk surfc cause drown, subsNoneCannot lead a claim
W16611SJump/div into natrl body of wtr strk surfc cause drown, sqlaNoneCannot lead a claim
W16612AJump/div in natrl body of wtr strk surfc cause oth inj, initNoneCannot lead a claim
W16612DJump/div in natrl body of wtr strk surfc cause oth inj, subsNoneCannot lead a claim
W16612SJump/div in natrl body of wtr strk surfc cause oth inj, sqlaNoneCannot lead a claim
W16621AJump/div into natrl body of wtr strk botm cause drown, initNoneCannot lead a claim
W16621DJump/div into natrl body of wtr strk botm cause drown, subsNoneCannot lead a claim
W16621SJump/div into natrl body of wtr strk botm cause drown, sqlaNoneCannot lead a claim
W16622AJump/div in natrl body of wtr strk botm cause oth inj, initNoneCannot lead a claim
W16622DJump/div in natrl body of wtr strk botm cause oth inj, subsNoneCannot lead a claim
W16622SJump/div in natrl body of wtr strk botm cause oth inj, sqlaNoneCannot lead a claim
W16711AJump/div from boat striking surfc causing drown, initNoneCannot lead a claim
W16711DJump/div from boat striking surfc causing drown, subsNoneCannot lead a claim
W16711SJump/div from boat striking surfc causing drown, sequelaNoneCannot lead a claim
W16712AJump/div from boat striking surfc causing oth injury, initNoneCannot lead a claim
W16712DJump/div from boat striking surfc causing oth injury, subsNoneCannot lead a claim
W16712SJump/div from boat strk surfc causing oth injury, sequelaNoneCannot lead a claim
W16721AJump/div from boat striking bottom causing drown, initNoneCannot lead a claim
W16721DJump/div from boat striking bottom causing drown, subsNoneCannot lead a claim
W16721SJump/div from boat striking bottom causing drown, sequelaNoneCannot lead a claim
W16722AJump/div from boat striking bottom causing oth injury, initNoneCannot lead a claim
W16722DJump/div from boat striking bottom causing oth injury, subsNoneCannot lead a claim
W16722SJump/div from boat strk bottom causing oth injury, sequelaNoneCannot lead a claim
W16811AJump/div into oth water striking surfc causing drown, initNoneCannot lead a claim
W16811DJump/div into oth water striking surfc causing drown, subsNoneCannot lead a claim
W16811SJump/div into oth water strk surfc causing drown, sequelaNoneCannot lead a claim
W16812AJump/div into oth water strk surfc causing oth injury, initNoneCannot lead a claim
W16812DJump/div into oth water strk surfc causing oth injury, subsNoneCannot lead a claim
W16812SJump/div into oth water strk surfc cause oth injury, sequelaNoneCannot lead a claim
W16821AJump/div into oth water striking bottom causing drown, initNoneCannot lead a claim
W16821DJump/div into oth water striking bottom causing drown, subsNoneCannot lead a claim
W16821SJump/div into oth water strk bottom causing drown, sequelaNoneCannot lead a claim
W16822AJump/div into oth water strk bottom causing oth injury, initNoneCannot lead a claim
W16822DJump/div into oth water strk bottom causing oth injury, subsNoneCannot lead a claim
W16822SJump/div into oth water strk bottom cause oth injury, sqlaNoneCannot lead a claim
W16831AJump/div into oth water striking wall causing drown, initNoneCannot lead a claim
W16831DJump/div into oth water striking wall causing drown, subsNoneCannot lead a claim
W16831SJump/div into oth water striking wall causing drown, sequelaNoneCannot lead a claim
W16832AJump/div into oth water strk wall causing oth injury, initNoneCannot lead a claim
W16832DJump/div into oth water strk wall causing oth injury, subsNoneCannot lead a claim
W16832SJump/div into oth water strk wall cause oth injury, sequelaNoneCannot lead a claim
W1691XAJumping or diving into unsp water causing drown, initNoneCannot lead a claim
W1691XDJumping or diving into unsp water causing drown, subsNoneCannot lead a claim
W1691XSJumping or diving into unsp water causing drown, sequelaNoneCannot lead a claim
W1692XAJumping or diving into unsp water causing oth injury, initNoneCannot lead a claim
W1692XDJumping or diving into unsp water causing oth injury, subsNoneCannot lead a claim
W1692XSJump/div into unsp water causing oth injury, sequelaNoneCannot lead a claim
W170XXAFall into well, initial encounterNoneCannot lead a claim
W170XXDFall into well, subsequent encounterNoneCannot lead a claim
W170XXSFall into well, sequelaNoneCannot lead a claim
W171XXAFall into storm drain or manhole, initial encounterNoneCannot lead a claim
W171XXDFall into storm drain or manhole, subsequent encounterNoneCannot lead a claim
W171XXSFall into storm drain or manhole, sequelaNoneCannot lead a claim
W172XXAFall into hole, initial encounterNoneCannot lead a claim
W172XXDFall into hole, subsequent encounterNoneCannot lead a claim
W172XXSFall into hole, sequelaNoneCannot lead a claim
W173XXAFall into empty swimming pool, initial encounterNoneCannot lead a claim
W173XXDFall into empty swimming pool, subsequent encounterNoneCannot lead a claim
W173XXSFall into empty swimming pool, sequelaNoneCannot lead a claim
W174XXAFall from dock, initial encounterNoneCannot lead a claim
W174XXDFall from dock, subsequent encounterNoneCannot lead a claim
W174XXSFall from dock, sequelaNoneCannot lead a claim
W1781XAFall down embankment (hill), initial encounterNoneCannot lead a claim
W1781XDFall down embankment (hill), subsequent encounterNoneCannot lead a claim
W1781XSFall down embankment (hill), sequelaNoneCannot lead a claim
W1782XAFall from (out of) grocery cart, initial encounterNoneCannot lead a claim
W1782XDFall from (out of) grocery cart, subsequent encounterNoneCannot lead a claim
W1782XSFall from (out of) grocery cart, sequelaNoneCannot lead a claim
W1789XAOther fall from one level to another, initial encounterNoneCannot lead a claim
W1789XDOther fall from one level to another, subsequent encounterNoneCannot lead a claim
W1789XSOther fall from one level to another, sequelaNoneCannot lead a claim
W1800XAStriking against unsp object w subsequent fall, init encntrNoneCannot lead a claim
W1800XDStriking against unsp object w subsequent fall, subs encntrNoneCannot lead a claim
W1800XSStriking against unsp object with subsequent fall, sequelaNoneCannot lead a claim
W1801XAStriking against sports equipment w subsequent fall, initNoneCannot lead a claim
W1801XDStriking against sports equipment w subsequent fall, subsNoneCannot lead a claim
W1801XSStriking against sports equipment w subsequent fall, sequelaNoneCannot lead a claim
W1802XAStriking against glass with subsequent fall, init encntrNoneCannot lead a claim
W1802XDStriking against glass with subsequent fall, subs encntrNoneCannot lead a claim
W1802XSStriking against glass with subsequent fall, sequelaNoneCannot lead a claim
W1809XAStriking against oth object w subsequent fall, init encntrNoneCannot lead a claim
W1809XDStriking against oth object w subsequent fall, subs encntrNoneCannot lead a claim
W1809XSStriking against other object with subsequent fall, sequelaNoneCannot lead a claim
W1811XAFall from or off toilet w/o strike against object, initNoneCannot lead a claim
W1811XDFall from or off toilet w/o strike against object, subsNoneCannot lead a claim
W1811XSFall from or off toilet w/o strike against object, sequelaNoneCannot lead a claim
W1812XAFall from or off toilet w strike against object, initNoneCannot lead a claim
W1812XDFall from or off toilet w strike against object, subsNoneCannot lead a claim
W1812XSFall from or off toilet w strike against object, sequelaNoneCannot lead a claim
W182XXAFall in (into) shower or empty bathtub, initial encounterNoneCannot lead a claim
W182XXDFall in (into) shower or empty bathtub, subsequent encounterNoneCannot lead a claim
W182XXSFall in (into) shower or empty bathtub, sequelaNoneCannot lead a claim
W1830XAFall on same level, unspecified, initial encounterNoneCannot lead a claim
W1830XDFall on same level, unspecified, subsequent encounterNoneCannot lead a claim
W1830XSFall on same level, unspecified, sequelaNoneCannot lead a claim
W1831XAFall on same level due to stepping on an object, init encntrNoneCannot lead a claim
W1831XDFall on same level due to stepping on an object, subs encntrNoneCannot lead a claim
W1831XSFall on same level due to stepping on an object, sequelaNoneCannot lead a claim
W1839XAOther fall on same level, initial encounterNoneCannot lead a claim
W1839XDOther fall on same level, subsequent encounterNoneCannot lead a claim
W1839XSOther fall on same level, sequelaNoneCannot lead a claim
W1840XASlipping, tripping and stumbling w/o falling, unsp, initNoneCannot lead a claim
W1840XDSlipping, tripping and stumbling w/o falling, unsp, subsNoneCannot lead a claim
W1840XSSlipping, tripping and stumbling w/o falling, unsp, sequelaNoneCannot lead a claim
W1841XASlip/trip w/o falling due to stepping on object, initNoneCannot lead a claim
W1841XDSlip/trip w/o falling due to stepping on object, subsNoneCannot lead a claim
W1841XSSlip/trip w/o falling due to stepping on object, sequelaNoneCannot lead a claim
W1842XASlip/trip w/o falling due to step into hole or opening, initNoneCannot lead a claim
W1842XDSlip/trip w/o falling due to step into hole or opening, subsNoneCannot lead a claim
W1842XSSlip/trip w/o fall due to step into hole or opening, sequelaNoneCannot lead a claim
W1843XASlip/trip w/o fall d/t step from one level to another, initNoneCannot lead a claim
W1843XDSlip/trip w/o fall d/t step from one level to another, subsNoneCannot lead a claim
W1843XSSlip/trip w/o fall d/t step from one level to another, sqlaNoneCannot lead a claim
W1849XAOth slipping, tripping and stumbling w/o falling, initNoneCannot lead a claim
W1849XDOth slipping, tripping and stumbling w/o falling, subsNoneCannot lead a claim
W1849XSOther slipping, tripping and stumbling w/o falling, sequelaNoneCannot lead a claim
W19XXXAUnspecified fall, initial encounterNoneCannot lead a claim
W19XXXDUnspecified fall, subsequent encounterNoneCannot lead a claim
W19XXXSUnspecified fall, sequelaNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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