ICD-10 W07
Non-Billable HeaderFall from chair
About ICD-10-CM W07
ICD-10-CM code W07 represents Fall from chair. This is a non-billable header code in the External Causes of Morbidity chapter (block W07). The 2026 edition of ICD-10-CM W07 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.
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to code W07
Medicare LCD Coverage for W07
Local Coverage Determinations (LCDs) from CMS MACs that list W07 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 W07.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but W07 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with W07
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 W07
Other codes in section W00-W19 (Slipping, tripping, stumbling and falls).
ICD-10 W07, Billing FAQ
Is ICD-10 code W07 billable? +
No, W07 is a non-billable header code. Use a more specific child code from block W07 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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