W65 vs X34
W65 (Accidental drowning and submersion while in bath-tub) compared with X34 (Earthquake), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. W65 carries an Excludes2 note covering X34: “accidental drowning and submersion due to cataclysm (X34-X39)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| W65Accidental drowning and submersion while in bath-tub | X34Earthquake | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Accidental drowning and submersion while in bath-tub is a non-billable ICD-10-CM category code (W65). | Earthquake is a non-billable ICD-10-CM category code (X34). |
| 7th character | The appropriate 7th character is to be added to code W65 | The appropriate 7th character is to be added to code X34 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources