W18.42XA
ICD-10-CMSlipping, tripping and stumbling without falling due to stepping into hole or opening, initial encounter
This code describes an incident where an individual loses their balance and nearly falls, but recovers, after inadvertently stepping into an unexpected hole or opening in the ground or floor. It signifies a near-fall event caused by an environmental hazard, specifically a depression or gap.
Apply this code when documentation clearly indicates a patient experienced a slip, trip, or stumble due to stepping into a hole, grate, manhole, or similar opening, but did not sustain a fall to the ground. This is appropriate for the initial visit for evaluation of any resulting minor injuries or for documentation of the incident itself.
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