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V91.31XD vs Y37

V91.31XD (Hit or struck by falling object due to accident to passenger ship, subsequent encounter) compared with Y37 (Military operations), 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 Y37: “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 encounterY37Military operations
Billing statusBillableNon-billable header

Report instead: Y37.000A, Y37.000D, Y37.000S, Y37.001A, Y37.001D

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).Military operations is a non-billable ICD-10-CM category code (Y37).
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 Y37
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 occurring during peacetime on military property and during routine military exercises and operations

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