V90 (Drowning and submersion due to accident to watercraft) compared with V91.31XA (Hit or struck by falling object due to accident to passenger ship, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“drowning and submersion due to accident to watercraft (V90.-)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. V91.31XA carries an Excludes2 note covering V90: “drowning and submersion due to accident to watercraft (V90.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| V90Drowning and submersion due to accident to watercraft | V91.31XAHit or struck by falling object due to accident to passenger ship, initial encounter | |
|---|---|---|
| Billing status | Non-billable header Report instead: V90.00XA, V90.00XD, V90.00XS, V90.01XA, V90.01XD | Billable |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Drowning and submersion due to accident to watercraft is a non-billable ICD-10-CM category code (V90). | Hit or struck by falling object due to accident to passenger ship, initial encounter is a billable ICD-10-CM diagnosis code (V91.31A). |
| 7th character | The appropriate 7th character is to be added to each code from category V90 | The appropriate 7th character is to be added to each code from category V91 |
| Includes | — | any injury except drowning and submersion as a result of an accident to watercraft Hit or struck by falling object due to accident to Ferry-boat Hit or struck by falling object due to accident to Liner |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources