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V90.3 vs V91.33XD

V90.3 (Drowning and submersion due to falling or jumping from crushed watercraft) compared with V91.33XD (Hit or struck by falling object due to accident to other powered watercraft, subsequent encounter), 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

These codes can be reported together when both conditions are documented, because V91.33XD lists V90.3 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.V90.3 is “Drowning and submersion due to falling or jumping from crushed watercraft”; V91.33XD is “Hit or struck by falling object due to accident to other powered watercraft, subsequent encounter”. V90.3 is a non-billable header; V91.33XD is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.V91.33XD lists V90.3 under Excludes2: “drowning or submersion due to fall or jumping from damaged watercraft (V90.2-, V90.3-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

Yes.V91.33XD’s tabular entry: “drowning or submersion due to fall or jumping from damaged watercraft (V90.2-, V90.3-)”. The note covers V90.3.

Official ruleGuide: Excludes1 vs Excludes2

Is one a parent or header code?

One is a header.V90.3 is a non-billable header, but V91.33XD is not one of its subdivisions.

Registry fact

Nothing found in 3 other checks; 1 check does not apply
Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. V90.3 carries 4 Excludes1 notes and V91.33XD carries 2 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

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?

Informational

Excludes2 relationship

V91.33XD
Hit or struck by falling object due to accident to other powered watercraft, subsequent encounter
↔
V90.3
Drowning and submersion due to falling or jumping from crushed watercraft

What we found

Yes, when both are documented.V91.33XD carries an Excludes2 note covering V90.3: “drowning or submersion due to fall or jumping from damaged watercraft (V90.2-, V90.3-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

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 / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

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

Official descriptionDiffers
V90.3

Drowning and submersion due to falling or jumping from crushed watercraft

V91.33XD

Hit or struck by falling object due to accident to other powered watercraft, subsequent encounter

StatusDiffers
V90.3
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: V90.30XA, V90.30XD, V90.30XS, V90.31XA, V90.31XD

V91.33XD
Billable
Excludes1Differs
Only at V90.3
  • 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.-)
Only at V91.33XD
  • military watercraft accident in military or war operations (Y36, Y37.-)
Shared by both codes (1 note)
  • civilian water transport accident involving military watercraft (V94.81-)
Excludes2Differs
V90.3

None at this code

V91.33XD
  • drowning or submersion due to fall or jumping from damaged watercraft (V90.2-, V90.3-)
  • drowning and submersion due to accident to watercraft (V90.-)
CategoryDiffers
V90.3

V90 Drowning and submersion due to accident to watercraft

V91.33XD

V91 Other injury due to accident to watercraft

ChapterSame for both

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

IncludesDiffers
V90.3

None at this code

V91.33XD
  • any injury except drowning and submersion as a result of an accident to watercraft
  • Hit or struck by falling object due to accident to Hovercraft (on open water)
  • Hit or struck by falling object due to accident to Jet ski
7th characterDiffers
V90.3
  • The appropriate 7th character is to be added to each code from category V90
V91.33XD
  • The appropriate 7th character is to be added to each code from category V91

No 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.

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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