W21 vs X71
W21 (Striking against or struck by sports equipment) compared with X71 (Intentional self-harm by drowning and submersion), 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. W21 carries an Excludes1 note covering X71: “intentional self-harm (X71-X83)”
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
| W21Striking against or struck by sports equipment | X71Intentional self-harm by drowning and submersion | |
|---|---|---|
| Billing status | Non-billable header Report instead: W21.00XA, W21.00XD, W21.00XS, W21.01XA, W21.01XD | Non-billable header Report instead: X71.0XXA, X71.0XXD, X71.0XXS, X71.1XXA, X71.1XXD |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Striking against or struck by sports equipment is a non-billable ICD-10-CM category code (W21). | Intentional self-harm by drowning and submersion is a non-billable ICD-10-CM category code (X71). |
| 7th character | The appropriate 7th character is to be added to each code from category W21 | The appropriate 7th character is to be added to each code from category X71 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources