Name of the Condition

• Common Name: Repeated Falls
• Technical Term: R29.6

Summary

Repeated falls refer to the occurrence of multiple episodes of unintentional falling, often indicating underlying health issues or environmental hazards. This condition can significantly impact an individual's quality of life and increase the risk of injury.

Causes

• Musculoskeletal disorders
• Neurological conditions (e.g., Parkinson's disease, stroke)
• Balance issues or vestibular disorders
• Medication side effects
• Poor vision or impaired sensory perception
• Environmental hazards (e.g., uneven surfaces, poor lighting)

Risk Factors

• Advanced age
• History of previous falls
• Chronic health conditions
• Use of multiple medications (polypharmacy)
• Cognitive impairments
• Sedentary lifestyle

Symptoms

• Frequent unintentional falls
• Difficulty maintaining balance
• Unsteadiness or vertigo
• Bruises or injuries resulting from falls

Diagnosis

• Comprehensive medical history review
• Physical examination (balance and gait analysis)
• Neurological assessments
• Medication review
• Environmental safety assessment

Treatment Options

• Physical therapy to improve strength and balance
• Medication management to address side effects
• Occupational therapy for home safety modifications
• Use of assistive devices (e.g., canes, walkers)
• Vision correction or treatment for related conditions

Prognosis and Follow-Up

• The outcome depends on addressing underlying causes and effective management of risk factors.
• Regular follow-ups and reassessment of fall risk are essential.
• Ongoing monitoring can help prevent future falls and associated complications.

Complications

• Fractures or joint dislocations
• Head injuries or traumatic brain injuries
• Decreased mobility leading to further health issues
• Anxiety or fear of falling, leading to reduced activity levels

Lifestyle & Prevention

• Engage in regular exercise focusing on balance and strength training
• Ensure home safety with adequate lighting and removal of tripping hazards
• Regular eye check-ups and proper eyewear
• Review and manage medications with a healthcare provider

When to Seek Professional Help

• After a fall, especially if experiencing injuries
• If recurrent falls occur without clear cause
• Sudden changes in balance or coordination
• Episodes of dizziness or vertigo

Additional Resources

• Centers for Disease Control and Prevention (CDC) – Falls Prevention
• National Council on Aging – Fall Prevention
• American Geriatrics Society – Tips for Preventing Falls

Tips for Medical Coders

• Confirm the patient has a history of multiple falls to use code R29.6.
• Be cautious of similar conditions: differentiate between single occurrences and repeated events.
• Ensure thorough documentation is present to justify the coding of repeated falls.