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V92.08XA vs V94.0

V92.08XA (Drowning and submersion due to fall off other unpowered watercraft, initial encounter) compared with V94.0 (Hitting object or bottom of body of water due to fall from watercraft), from the official CMS tabular data.

Summary

These codes should not be reported together because V92.08XA’s tabular entry lists V94.0 under Excludes1.

Official rule
What is different?

The conditions named and billing status.V92.08XA is “Drowning and submersion due to fall off other unpowered watercraft, initial encounter”; V94.0 is “Hitting object or bottom of body of water due to fall from watercraft”. V94.0 is a non-billable header; V92.08XA is billable.

Registry fact

Can these codes be reported together?

No.V92.08XA’s entry carries an Excludes1 note covering V94.0: “drowning and submersion due to rider of nonpowered watercraft being hit by other watercraft (V94.-)”. Both may be reported only when the documentation shows the two conditions are unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

Yes.V92.08XA’s tabular entry: “drowning and submersion due to rider of nonpowered watercraft being hit by other watercraft (V94.-)”. The note covers V94.0.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

Yes.V92.08XA’s tabular entry: “hitting head on object or bottom of body of water due to fall from watercraft (V94.0-)”. The note covers V94.0.

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.V94.0 is a non-billable header, but V92.08XA 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?

Conflict

Excludes1 conflict

V92.08XA
Drowning and submersion due to fall off other unpowered watercraft, initial encounter
↔
V94.0
Hitting object or bottom of body of water due to fall from watercraft

What we found

No — do not report together.V92.08XA carries an Excludes1 note covering V94.0: “drowning and submersion due to rider of nonpowered watercraft being hit by other watercraft (V94.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

What to review

Report one of the two. Both may be reported only when the documentation shows the two conditions are unrelated to each other.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

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 / rule

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

Informational

Excludes2 relationship

V92.08XA
Drowning and submersion due to fall off other unpowered watercraft, initial encounter
↔
V94.0
Hitting object or bottom of body of water due to fall from watercraft

What we found

Yes, when both are documented.V92.08XA carries an Excludes2 note covering V94.0: “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.a — Excludes1 · applies to: Excludes1

    A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other. If it is not clear whether the two conditions involving an Excludes1 note are related or not, query the provider. For example, code F45.8, Other somatoform disorders, has an Excludes1 note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is an inclusion term under F45.8. Only one of these two codes should be assigned for teeth grinding. However psychogenic dysmenorrhea is also an inclusion term under F45.8, and a patient could have both this condition and sleep related teeth grinding. In this case, the two conditions are clearly unrelated to each other, and so it would be appropriate to report F45.8 and G47.63 together.

    ICD-10-CM Official Guidelines FY2026

  • 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

V92.08XADrowning and submersion due to fall off other unpowered watercraft, initial encounterV94.0Hitting object or bottom of body of water due to fall from watercraft
Billing statusBillableNon-billable header

Report instead: V94.0XXA, V94.0XXD, V94.0XXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionDrowning and submersion due to fall off other unpowered watercraft, initial encounter is a billable ICD-10-CM diagnosis code (V92.08XA).Hitting object or bottom of body of water due to fall from watercraft is a non-billable ICD-10-CM category code (V94.0).
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 off surf-board
Drowning and submersion due to fall off windsurfer
—
Excludes1
drowning and submersion due to fall off burning unpowered watercraft (V90.28)
drowning and submersion due to fall off crushed unpowered watercraft (V90.38)
drowning and submersion due to fall off damaged unpowered watercraft (V90.88)
drowning and submersion due to rider of nonpowered watercraft being hit by other watercraft (V94.-)
other injury due to rider of nonpowered watercraft being hit by other watercraft (V94.-)
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.

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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