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W22.041 vs W67

W22.041 (Striking against wall of swimming pool causing drowning and submersion) compared with W67 (Accidental drowning and submersion while in swimming-pool), 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. W22.041 carries an Excludes1 note covering W67: “drowning and submersion while swimming without striking against wall (W67)”

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. W67 carries an Excludes1 note covering W22.041: “accidental drowning and submersion due to striking into wall of swimming pool (W22.041)”

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

W22.041Striking against wall of swimming pool causing drowning and submersionW67Accidental drowning and submersion while in swimming-pool
Billing statusNon-billable header

Report instead: W22.041A, W22.041D, W22.041S

Non-billable header

Report instead: W67.XXXA, W67.XXXD, W67.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionStriking against wall of swimming pool causing drowning and submersion is a non-billable ICD-10-CM category code (W22.041).Accidental drowning and submersion while in swimming-pool is a non-billable ICD-10-CM category code (W67).
7th characterThe appropriate 7th character is to be added to each code from category W22The appropriate 7th character is to be added to code W67

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