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W37 vs X92

W37 (Explosion and rupture of pressurized tire, pipe or hose) compared with X92 (Assault 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. W37 carries an Excludes1 note covering X92: “assault (X92-Y09)”

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

W37Explosion and rupture of pressurized tire, pipe or hoseX92Assault by drowning and submersion
Billing statusNon-billable header

Report instead: W37.0XXA, W37.0XXD, W37.0XXS, W37.8XXA, W37.8XXD

Non-billable header

Report instead: X92.0XXA, X92.0XXD, X92.0XXS, X92.1XXA, X92.1XXD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionExplosion and rupture of pressurized tire, pipe or hose is a non-billable ICD-10-CM category code (W37).Assault by drowning and submersion is a non-billable ICD-10-CM category code (X92).
7th characterThe appropriate 7th character is to be added to each code from category W37The appropriate 7th character is to be added to each code from category X92
Includes
homicide
injuries inflicted by another person with intent to injure or kill, by any means

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