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V90 vs W16.91XD

V90 (Drowning and submersion due to accident to watercraft) compared with W16.91XD (Jumping or diving into unspecified water causing drowning and submersion, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V90
Drowning and submersion due to accident to watercraft
↔
W16.91XD
Jumping or diving into unspecified water causing drowning and submersion, subsequent encounter

Not coded here — these two are mutually exclusive.

“fall into water not from watercraft (W16.-)”

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. V90 carries an Excludes1 note covering W16.91XD: “fall into water not from watercraft (W16.-)”

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

V90Drowning and submersion due to accident to watercraftW16.91XDJumping or diving into unspecified water causing drowning and submersion, subsequent encounter
Billing statusNon-billable header

Report instead: V90.00XA, V90.00XD, V90.00XS, V90.01XA, V90.01XD

Billable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionDrowning and submersion due to accident to watercraft is a non-billable ICD-10-CM category code (V90).Jumping or diving into unspecified water causing drowning and submersion, subsequent encounter is a billable ICD-10-CM diagnosis code (W16.91D).
7th characterThe appropriate 7th character is to be added to each code from category V90The 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