V91.3 vs V93.49XD

V91.3 (Hit or struck by falling object due to accident to watercraft) compared with V93.49XD (Struck by falling object on unspecified watercraft, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V93.49XD

Struck by falling object on unspecified watercraft, subsequent encounter

↔

V91.3

Hit or struck by falling object due to accident to watercraft

Not coded here — these two are mutually exclusive.

“struck by falling object due to accident to watercraft (V91.3)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. V93.49XD carries an Excludes1 note covering V91.3: “struck by falling object due to accident to watercraft (V91.3)”

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

	V91.3Hit or struck by falling object due to accident to watercraft	V93.49XDStruck by falling object on unspecified watercraft, subsequent encounter
Billing status	Non-billable header	Billable
Classification	V00-Y99 — External Causes of Morbidity (V00-Y99)	V00-Y99 — External Causes of Morbidity (V00-Y99)
Definition	Hit or struck by falling object due to accident to watercraft is a non-billable ICD-10-CM category code (V91.3).	Struck by falling object on unspecified watercraft, subsequent encounter is a billable ICD-10-CM diagnosis code (V93.49D).
7th character	The appropriate 7th character is to be added to each code from category V91	The 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 Hit or struck by falling object (part of damaged watercraft or other object) after falling or jumping from damaged watercraft	—

Edit this comparison Check a whole claim

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