W67 vs X39
W67 (Accidental drowning and submersion while in swimming-pool) compared with X39 (Exposure to other forces of nature), 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. W67 carries an Excludes2 note covering X39: “accidental drowning and submersion due to cataclysm (X34-X39)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| W67Accidental drowning and submersion while in swimming-pool | X39Exposure to other forces of nature | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: X39.01XA, X39.01XD, X39.01XS, X39.08XA, X39.08XD |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Accidental drowning and submersion while in swimming-pool is a non-billable ICD-10-CM category code (W67). | Exposure to other forces of nature is a non-billable ICD-10-CM category code (X39). |
| 7th character | The appropriate 7th character is to be added to code W67 | The appropriate 7th character is to be added to each code from category X39 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources