Skip to main content

V92.0 vs V94.0XXS

V92.0 (Drowning and submersion due to fall off watercraft) compared with V94.0XXS (Hitting object or bottom of body of water due to fall from watercraft, sequela), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because V92.0 lists V94.0XXS under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.V92.0 is “Drowning and submersion due to fall off watercraft”; V94.0XXS is “Hitting object or bottom of body of water due to fall from watercraft, sequela”. V92.0 is a non-billable header; V94.0XXS is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.V92.0 lists V94.0XXS under Excludes2: “hitting head on object or bottom of body of water due to fall from watercraft (V94.0-)”. 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. V92.0 carries 5 Excludes1 notes and V94.0XXS carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.V92.0’s tabular entry: “hitting head on object or bottom of body of water due to fall from watercraft (V94.0-)”. The note covers V94.0XXS.

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.V92.0 is a non-billable header, but V94.0XXS 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

V92.0
Drowning and submersion due to fall off watercraft
↔
V94.0XXS
Hitting object or bottom of body of water due to fall from watercraft, sequela

What we found

Yes, when both are documented.V92.0 carries an Excludes2 note covering V94.0XXS: “hitting head on object or bottom of body of water due to fall from watercraft (V94.0-)”

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

V92.0Drowning and submersion due to fall off watercraftV94.0XXSHitting object or bottom of body of water due to fall from watercraft, sequela
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 fall off watercraft is a non-billable ICD-10-CM category code (V92.0).Hitting object or bottom of body of water due to fall from watercraft, sequela is a billable ICD-10-CM diagnosis code (V94.0XXS).
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 V94
Includes
Drowning and submersion due to fall from gangplank of watercraft
Drowning and submersion due to fall overboard watercraft
—
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)
military watercraft accidents in military or war operations (Y36, Y37)
Excludes2
hitting head on object or bottom of body of water due to fall from watercraft (V94.0-)
drowning and submersion due to fall from watercraft (V92.0-)

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.

Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources