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W23.0XXS vs X71

W23.0XXS (Caught, crushed, jammed, or pinched between moving objects, sequela) 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. W23.0XXS 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

W23.0XXSCaught, crushed, jammed, or pinched between moving objects, sequelaX71Intentional self-harm by drowning and submersion
Billing statusBillableNon-billable header

Report instead: X71.0XXA, X71.0XXD, X71.0XXS, X71.1XXA, X71.1XXD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionCaught, crushed, jammed, or pinched between moving objects, sequela is a billable ICD-10-CM diagnosis code (W23.0S).Intentional self-harm by drowning and submersion is a non-billable ICD-10-CM category code (X71).
7th characterThe appropriate 7th character is to be added to each code from category W23The 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