W16.41XD (Fall into unspecified water causing drowning and submersion, subsequent encounter) compared with X00 (Exposure to uncontrolled fire in building or structure), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2). MedCoder-derived
Distinct conditions — both may be reported.
“fall (in) (from) burning building (X00.-)”
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: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. W16.41XD carries an Excludes2 note covering X00: “fall (in) (from) burning building (X00.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| W16.41XDFall into unspecified water causing drowning and submersion, subsequent encounter | X00Exposure to uncontrolled fire in building or structure | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: X00.0XXA, X00.0XXD, X00.0XXS, X00.1XXA, X00.1XXD |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Fall into unspecified water causing drowning and submersion, subsequent encounter is a billable ICD-10-CM diagnosis code (W16.41XD). | Exposure to uncontrolled fire in building or structure is a non-billable ICD-10-CM category code (X00). |
| 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 each code from category X00 |
| Includes | — | conflagration in building or structure |
| Code first | — | any associated cataclysm |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources