Z91.81 History of falling

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• At risk for falling

Applies from Z91 Personal risk factors, not elsewhere classified

Excludes2 (not included here)

• contact with and (suspected) exposures hazardous to health (Z77.-)
• exposure to pollution and other problems related to physical environment (Z77.1-)
• female genital mutilation status (N90.81-)
• occupational exposure to risk factors (Z57.-)
• personal history of physical injury and trauma (Z87.81, Z87.82-)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V15.88 History of fall

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z91.81

Back-references to Z91.81

• Type 2 Excludes: R29.6 Repeated falls ("at risk for falling (Z91.81)")
• Type 2 Excludes: R29.6 Repeated falls ("history of falling (Z91.81)")

Diagnosis Index entries for Z91.81

• At risk › for › falling
• History › personal (of) › fall, falling
• Problem (with) (related to) › falling

Nearby codes

• Z91.49 Other personal history of psychological trauma, not elsewhere classified
• Z91.5 Personal history of self-harm
• Z91.51 Personal history of suicidal behavior
• Z91.52 Personal history of nonsuicidal self-harm
• Z91.8 Other specified personal risk factors, not elsewhere classified
• Z91.81 History of falling (this code)
• Z91.82 Personal history of military deployment
• Z91.83 Wandering in diseases classified elsewhere
• Z91.84 Oral health risk factors
• Z91.841 Risk for dental caries, low
• Z91.842 Risk for dental caries, moderate