V90 vs W69.XXXD
V90 (Drowning and submersion due to accident to watercraft) compared with W69.XXXD (Accidental drowning and submersion while in natural water, 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. W69.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 | W69.XXXDAccidental drowning and submersion while in natural water, 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 natural water, subsequent encounter is a billable ICD-10-CM diagnosis code (W69D). |
| 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 W69 |
| Includes | — | Accidental drowning and submersion while in lake Accidental drowning and submersion while in open sea Accidental drowning and submersion while in river Accidental drowning and submersion while in stream |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources