V90 vs W65.XXXD
V90 (Drowning and submersion due to accident to watercraft) compared with W65.XXXD (Accidental drowning and submersion while in bath-tub, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. W65.XXXD carries an Excludes1 note covering V90: “accidental drowning and submersion due to water transport accident (V90.-, V92.-)”
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 watercraft | W65.XXXDAccidental drowning and submersion while in bath-tub, subsequent 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). | Accidental drowning and submersion while in bath-tub, subsequent encounter is a billable ICD-10-CM diagnosis code (W65D). |
| 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 code W65 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources