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V91.31XD vs Y36

V91.31XD (Hit or struck by falling object due to accident to passenger ship, subsequent encounter) compared with Y36 (Operations of war), 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. V91.31XD carries an Excludes1 note covering Y36: “military watercraft accident in military or war operations (Y36, Y37.-)”

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

V91.31XDHit or struck by falling object due to accident to passenger ship, subsequent encounterY36Operations of war
Billing statusBillableNon-billable header

Report instead: Y36.000A, Y36.000D, Y36.000S, Y36.001A, Y36.001D

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionHit or struck by falling object due to accident to passenger ship, subsequent encounter is a billable ICD-10-CM diagnosis code (V91.31D).Operations of war is a non-billable ICD-10-CM category code (Y36).
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 Y36
Includes
any injury except drowning and submersion as a result of an accident to watercraft
Hit or struck by falling object due to accident to Ferry-boat
Hit or struck by falling object due to accident to Liner
injuries to military personnel and civilians caused by war, civil insurrection, and peacekeeping missions

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