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V91 vs V93.41XS

V91 (Other injury due to accident to watercraft) compared with V93.41XS (Struck by falling object on passenger ship, sequela), 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. V93.41XS carries an Excludes1 note covering V91: “other injury due to accident to watercraft (V91.-)”

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

V91Other injury due to accident to watercraftV93.41XSStruck by falling object on passenger ship, sequela
Billing statusNon-billable header

Report instead: V91.00XA, V91.00XD, V91.00XS, V91.01XA, V91.01XD

Billable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionOther injury due to accident to watercraft is a non-billable ICD-10-CM category code (V91).Struck by falling object on passenger ship, sequela is a billable ICD-10-CM diagnosis code (V93.41S).
7th characterThe appropriate 7th character is to be added to each code from category V91The appropriate 7th character is to be added to each code from category V93
Includes
any injury except drowning and submersion as a result of an accident to watercraft
Struck by falling object on Ferry-boat
Struck by falling object on Liner

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources