V90.80XA vs W16
V90.80XA (Drowning and submersion due to other accident to merchant ship, initial encounter) compared with W16 (Fall, jump or diving into water), 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. V90.80XA carries an Excludes1 note covering W16: “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).
No — do not report together. W16 carries an Excludes1 note covering V90.80XA: “fall into water from watercraft (V90-V94)”
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
| V90.80XADrowning and submersion due to other accident to merchant ship, initial encounter | W16Fall, jump or diving into water | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: W16.011A, W16.011D, W16.011S, W16.012A, W16.012D |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Drowning and submersion due to other accident to merchant ship, initial encounter is a billable ICD-10-CM diagnosis code (V90.80A). | Fall, jump or diving into water is a non-billable ICD-10-CM category code (W16). |
| 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 each code from category W16 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources