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V90.09XA vs V90.09XS

V90.09XA (Drowning and submersion due to unspecified watercraft overturning, initial encounter) compared with V90.09XS (Drowning and submersion due to unspecified watercraft overturning, sequela), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

No tabular note links these codes. Both belong to category V90, and nothing in the tabular list prevents reporting each when it is documented.

Registry fact
What is different?

Title wording.The titles share “Drowning and submersion due to unspecified watercraft overturning”; V90.09XA says “initial encounter” where V90.09XS says “sequela”.

Registry fact

Nothing found in 7 other checks
Can these codes be reported together?

No instruction prevents it.No note in either entry names the other. Both belong to category V90; each may be reported when its own documentation is present.

Registry fact

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. V90.09XA carries 4 Excludes1 notes and V90.09XS carries 4 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code.

Official rule

Is one more specific?

No.Both titles are unspecified forms within category V90, and neither is a subdivision of the other.

Registry fact

Is one a parent or header code?

No.Both are billable codes, and neither contains the other.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Yes, when each is documented. V90.09XA and V90.09XS both belong to category V90.

No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. The code titles state what each one covers, and the documentation decides which applies.

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
V90.09XA

Drowning and submersion due to unspecified watercraft overturning, initial encounter

V90.09XS

Drowning and submersion due to unspecified watercraft overturning, sequela

StatusSame for both
Billable
Excludes1Same for both
  • civilian water transport accident involving military watercraft (V94.81-)
  • fall into water not from watercraft (W16.-)
  • military watercraft accident in military or war operations (Y36.0-, Y37.0-)
  • water-transport-related drowning or submersion without accident to watercraft (V92.-)
CategorySame for both

V90 Drowning and submersion due to accident to watercraft

ChapterSame for both

V00-Y99 — External Causes of Morbidity (V00-Y99)

IncludesSame for both
  • Drowning and submersion due to boat NOS overturning
  • Drowning and submersion due to ship NOS overturning
  • Drowning and submersion due to watercraft NOS overturning
7th characterSame for both
  • The appropriate 7th character is to be added to each code from category V90

No Excludes2, Code first, Use additional code and Code also note at either code.

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.

Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources