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V92 vs V93.81XA

V92 (Drowning and submersion due to accident on board watercraft, without accident to watercraft) compared with V93.81XA (Other injury due to other accident on board passenger ship, initial encounter), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because V93.81XA lists V92 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.V92 is “Drowning and submersion due to accident on board watercraft, without accident to watercraft”; V93.81XA is “Other injury due to other accident on board passenger ship, initial encounter”. V92 is a non-billable header; V93.81XA is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.V93.81XA lists V92 under Excludes2: “drowning and submersion due to accident on board watercraft, without accident to watercraft (V92.-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. V92 carries 5 Excludes1 notes and V93.81XA carries 3 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.V93.81XA’s tabular entry: “drowning and submersion due to accident on board watercraft, without accident to watercraft (V92.-)”. The note covers V92.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.V92 is a non-billable header, but V93.81XA is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

V93.81XA
Other injury due to other accident on board passenger ship, initial encounter
↔
V92
Drowning and submersion due to accident on board watercraft, without accident to watercraft

What we found

Yes, when both are documented.V93.81XA carries an Excludes2 note covering V92: “drowning and submersion due to accident on board watercraft, without accident to watercraft (V92.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

V92Drowning and submersion due to accident on board watercraft, without accident to watercraftV93.81XAOther injury due to other accident on board passenger ship, initial encounter
Billing statusNon-billable header

Report instead: V92.00XA, V92.00XD, V92.00XS, V92.01XA, V92.01XD

Billable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionDrowning and submersion due to accident on board watercraft, without accident to watercraft is a non-billable ICD-10-CM category code (V92).Other injury due to other accident on board passenger ship, initial encounter is a billable ICD-10-CM diagnosis code (V93.81XA).
7th characterThe appropriate 7th character is to be added to each code from category V92The appropriate 7th character is to be added to each code from category V93
Includes—
Other injury due to other accident on board Ferry-boat
Other injury due to other accident on board Liner
Excludes1
civilian water transport accident involving military watercraft (V94.81-)
drowning or submersion due to accident to watercraft (V90-V91)
drowning or submersion of diver who voluntarily jumps from boat not involved in an accident (W16.711, W16.721)
fall into water without watercraft (W16.-)
military watercraft accident in military or war operations (Y36, Y37)
civilian water transport accident involving military watercraft (V94.81-)
other injury due to accident to watercraft (V91.-)
military watercraft accident in military or war operations (Y36, Y37.-)
Excludes2—
drowning and submersion due to accident on board watercraft, without accident to watercraft (V92.-)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources