ICD-10 W05
Non-Billable HeaderFall from non-moving wheelchair, nonmotorized scooter and motorized mobility scooter
About ICD-10-CM W05
ICD-10-CM code W05 represents Fall from non-moving wheelchair, nonmotorized scooter and motorized mobility scooter. This is a non-billable header code in the External Causes of Morbidity chapter (block W05). The 2026 edition of ICD-10-CM W05 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with W05. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- fall from moving wheelchair (powered) (V00.811)
- fall from moving motorized mobility scooter (V00.831)
- fall from nonmotorized scooter (V00.141)
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to each code from category W05
Medicare LCD Coverage for W05
Local Coverage Determinations (LCDs) from CMS MACs that list W05 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing W05.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but W05 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with W05
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To W05
Other codes in section W00-W19 (Slipping, tripping, stumbling and falls).
ICD-10 W05, Billing FAQ
Is ICD-10 code W05 billable? +
No, W05 is a non-billable header code. Use a more specific child code from block W05 when submitting claims.
What codes are Type 1 Excludes for W05? +
Type 1 Excludes (never code together with W05): fall from moving wheelchair (powered) (V00.811); fall from moving motorized mobility scooter (V00.831); fall from nonmotorized scooter (V00.141)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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