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W67.XXXD vs X34

W67.XXXD (Accidental drowning and submersion while in swimming-pool, subsequent encounter) 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. W67.XXXD 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

W67.XXXDAccidental drowning and submersion while in swimming-pool, subsequent encounterX34Earthquake
Billing statusBillableNon-billable header

Report instead: X34.XXXA, X34.XXXD, X34.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionAccidental drowning and submersion while in swimming-pool, subsequent encounter is a billable ICD-10-CM diagnosis code (W67D).Earthquake is a non-billable ICD-10-CM category code (X34).
7th characterThe appropriate 7th character is to be added to code W67The 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