{"code":"W16.011S","type":"code","title":"Fall into swimming pool striking water surface causing drowning and submersion, sequela","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["drowning and submersion while in swimming pool without fall (W67)","fall into empty swimming pool (W17.3)","accidental non-watercraft drowning and submersion not involving fall (W65-W74)","effects of air pressure from diving (W94.-)","fall into water from watercraft (V90-V94)","hitting an object or against bottom when falling from watercraft (V94.0)","assault involving a fall (Y01-Y02)","fall from animal (V80.-)","fall (in) (from) machinery (in operation) (W28-W31)","fall (in) (from) transport vehicle (V01-V99)","intentional self-harm involving a fall (X80-X81)"],"excludes2":["striking or hitting diving board (W21.4)","at risk for fall (history of fall) Z91.81","fall (in) (from) burning building (X00.-)","fall into fire (X00-X04, X08)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Fall into swimming pool striking water surface causing drowning and submersion, sequela is a billable ICD-10-CM diagnosis code (W16.011S). Excludes1 (not coded here): drowning and submersion while in swimming pool without fall (W67); fall into empty swimming pool (W17.3); accidental non-watercraft drowning and submersion not involving fall (W65-W74); effects of air pressure from diving (W94.","officialDefinition":"Fall into swimming pool striking water surface causing drowning and submersion, sequela is a billable ICD-10-CM diagnosis code (W16.011S). Excludes1 (not coded here): drowning and submersion while in swimming pool without fall (W67); fall into empty swimming pool (W17.3); accidental non-watercraft drowning and submersion not involving fall (W65-W74); effects of air pressure from diving (W94.-); fall into water from watercraft (V90-V94); hitting an object or against bottom when falling from watercraft (V94.0); assault involving a fall (Y01-Y02); fall from animal (V80.-); fall (in) (from) machinery (in operation) (W28-W31); fall (in) (from) transport vehicle (V01-V99); intentional self-harm involving a fall (X80-X81). Excludes2 (not included here): striking or hitting diving board (W21.4); at risk for fall (history of fall) Z91.81; fall (in) (from) burning building (X00.-); fall into fire (X00-X04, X08). 7th character: The appropriate 7th character is to be added to each code from category W16.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category W16"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}