| 59454-9 | History of falling; immediate or within 3 months (qualitative) |
| 59456-4 | Ambulatory aid (qualitative) |
| 59457-2 | Intravenous apparatus (qualitative) |
| 59458-0 | Gait (qualitative) |
| 59459-8 | Mental status (qualitative) |
| 59460-6 | Fall risk total |
| 59461-4 | Fall risk level (qualitative) |