Fall on same level due to ice and snow, initial encounter

This code signifies an injury resulting from a slip, trip, or fall that occurred on a level surface due to the presence of ice or snow. The patient's body came into contact with the ground or another surface at the same level they were standing on, with the environmental factor of ice or snow being the direct cause of the fall.

Apply this code when documenting an initial encounter for an injury sustained from a fall on an icy sidewalk, snowy driveway, or any other flat surface where ice or snow was the precipitating factor. This is appropriate for patients presenting to the emergency department, urgent care, or a physician's office immediately following such an incident.

• Always assign an additional code for the specific injury sustained (e.g., fracture, sprain, contusion).
• Ensure the documentation clearly states the fall was due to ice or snow and occurred on a level surface.
• This "initial encounter" character indicates the patient is receiving active treatment for the injury.