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W16.21 vs W18.2

W16.21 (Fall in (into) filled bathtub) compared with W18.2 (Fall in (into) shower or empty bathtub), 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. W16.21 carries an Excludes1 note covering W18.2: “fall into empty bathtub (W18.2)”

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

No — do not report together. W18.2 carries an Excludes1 note covering W16.21: “fall in full bathtub causing drowning or submersion (W16.21-)”

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

W16.21Fall in (into) filled bathtubW18.2Fall in (into) shower or empty bathtub
Billing statusNon-billable header

Report instead: W16.211A, W16.211D, W16.211S, W16.212A, W16.212D

Non-billable header

Report instead: W18.2XXA, W18.2XXD, W18.2XXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionFall in (into) filled bathtub is a non-billable ICD-10-CM category code (W16.21).Fall in (into) shower or empty bathtub is a non-billable ICD-10-CM category code (W18.2).
7th characterThe appropriate 7th character is to be added to each code from category W16The appropriate 7th character is to be added to each code from category W18

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