Repeated falls
ICD-10 R29.6 is a billable code used to indicate a diagnosis of repeated falls.
Repeated falls refer to instances where an individual experiences two or more falls within a specified timeframe, often indicating underlying health issues or environmental hazards. This symptom can be indicative of various conditions, including neurological disorders, musculoskeletal problems, balance impairments, or medication side effects. Common causes include age-related changes, such as decreased muscle strength and coordination, as well as chronic conditions like Parkinson's disease, stroke, or vestibular disorders. Environmental factors, such as poor lighting, uneven surfaces, or lack of assistive devices, can also contribute to falls. Clinically, repeated falls warrant a thorough assessment to identify the underlying causes, which may involve neurological examinations, balance tests, and medication reviews. Laboratory findings may include evaluations of vitamin D levels, electrolytes, and other relevant tests to rule out metabolic causes. Accurate documentation of the frequency, circumstances, and consequences of falls is crucial for effective management and coding.
Detailed history of falls, including frequency, circumstances, and any resulting injuries.
Patients with chronic illnesses presenting with falls due to weakness or dizziness.
Consideration of comorbidities and medication side effects that may contribute to falls.
Acute care notes detailing the mechanism of injury, vital signs, and immediate interventions.
Patients presenting after a fall with potential fractures or head injuries.
Rapid assessment of neurological status and potential need for imaging studies.
Used for follow-up visits after a patient has experienced repeated falls.
Document the patient's history of falls, assessment, and any changes in treatment.
Internal medicine may focus on chronic disease management related to falls.
Documentation should include the frequency and circumstances of falls, any injuries sustained, and assessments of underlying conditions or contributing factors.
