W16.211 vs W65.XXXD
W16.211 (Fall in (into) filled bathtub causing drowning and submersion) compared with W65.XXXD (Accidental drowning and submersion while in bath-tub, subsequent encounter), 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. W16.211 carries an Excludes1 note covering W65.XXXD: “drowning and submersion while in filled bathtub without fall (W65)”
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. W16.211 carries an Excludes1 note covering W65.XXXD: “accidental non-watercraft drowning and submersion not involving fall (W65-W74)”
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. W65.XXXD carries an Excludes1 note covering W16.211: “accidental drowning and submersion due to fall in (into) bathtub (W16.211)”
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. W65.XXXD carries an Excludes1 note covering W16.211: “accidental drowning and submersion due to fall into water (W16.-)”
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
| W16.211Fall in (into) filled bathtub causing drowning and submersion | W65.XXXDAccidental drowning and submersion while in bath-tub, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Fall in (into) filled bathtub causing drowning and submersion is a non-billable ICD-10-CM category code (W16.211). | Accidental drowning and submersion while in bath-tub, subsequent encounter is a billable ICD-10-CM diagnosis code (W65D). |
| 7th character | The appropriate 7th character is to be added to each code from category W16 | The appropriate 7th character is to be added to code W65 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources