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V80 vs W16.91XA

V80 (Animal-rider or occupant of animal-drawn vehicle injured in transport accident) compared with W16.91XA (Jumping or diving into unspecified water causing drowning and submersion, initial encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

W16.91XA
Jumping or diving into unspecified water causing drowning and submersion, initial encounter
↔
V80
Animal-rider or occupant of animal-drawn vehicle injured in transport accident

Not coded here — these two are mutually exclusive.

“fall from animal (V80.-)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. W16.91XA carries an Excludes1 note covering V80: “fall from animal (V80.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

V80Animal-rider or occupant of animal-drawn vehicle injured in transport accidentW16.91XAJumping or diving into unspecified water causing drowning and submersion, initial encounter
Billing statusNon-billable header

Report instead: V80.010A, V80.010D, V80.010S, V80.018A, V80.018D

Billable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionAnimal-rider or occupant of animal-drawn vehicle injured in transport accident is a non-billable ICD-10-CM category code (V80).Jumping or diving into unspecified water causing drowning and submersion, initial encounter is a billable ICD-10-CM diagnosis code (W16.91A).
7th characterThe appropriate 7th character is to be added to each code from category V80The appropriate 7th character is to be added to each code from category W16
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources