V91.39XA ICD-10-CM Code: Hit or struck by falling object due to accident to unspecified watercraft, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 4 inclusion terms · 2 Excludes1 · 2 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for V91.39XA in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on V91.39XA itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- any injury except drowning and submersion as a result of an accident to watercraft
Source: inherited from V91
Inclusion Terms
Alternative terms the tabular list files under this code.
- Hit or struck by falling object due to accident to boat NOS
- Hit or struck by falling object due to accident to ship NOS
- Hit or struck by falling object due to accident to watercraft NOS
Source: inherited from V91.39
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- civilian water transport accident involving military watercraft (V94.81-) Compare V91.39XA vs V94.81 →
- military watercraft accident in military or war operations (Y36, Y37.-) Compare V91.39XA vs Y36 →
Source: inherited from V91
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- drowning or submersion due to fall or jumping from damaged watercraft (V90.2-, V90.3-) inherited from V91.3Compare V91.39XA vs V90.2 →
- drowning and submersion due to accident to watercraft (V90.-) inherited from V91Compare V91.39XA vs V90 →
7th Character Guide
"The appropriate 7th character is to be added to each code from category V91"
- A — initial encounter (this page’s code)
- D — subsequent encounter
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
- 2 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
- 2 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name V91.39XA or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 4 Excludes1 notes: V92 — Drowning and submersion due to accident on board watercraft, without accident to watercraft (via V91.-), V93 — Other injury due to accident on board watercraft, without accident to watercraft (via V91.-), W16 — Fall, jump or diving into water (via V91.-), W16.7 — Jumping or diving from boat (via V91.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Clinical classification (AHRQ CCSR):EXT010 — External cause codes: transport; not MVT; initial encounter; EXT020 — External cause codes: intent of injury, accidental/unintentional.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (External cause codes: transport; not MVT; initial encounter, External cause codes: intent of injury, accidental/unintentional).
Contextual Map
Every relationship of V91.39XA in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99)[Hierarchy]
- V90-V94 — Water transport accidents[Hierarchy]
Referenced by Excludes1 notes
- V92 — Drowning and submersion due to accident on board watercraft, without accident to watercraft[Excludes1](via V91.-): “drowning or submersion due to accident to watercraft (V90-V91)” · Check V91.39XA + V92 together
- V93 — Other injury due to accident on board watercraft, without accident to watercraft[Excludes1](via V91.-): “other injury due to accident to watercraft (V91.-)” · Check V91.39XA + V93 together
- W16 — Fall, jump or diving into water[Excludes1](via V91.-): “fall into water from watercraft (V90-V94)” · Check V91.39XA + W16 together
- W16.7 — Jumping or diving from boat[Excludes1](via V91.-): “Fall from boat into water -see watercraft accident (V90-V94)” · Check V91.39XA + W16.7 together
Clinical classification (CCSR)
- EXT010 — External cause codes: transport; not MVT; initial encounter[CCSR]
- EXT020 — External cause codes: intent of injury, accidental/unintentional[CCSR]
Nearest codes (40)
- V91 — Other injury due to accident to watercraft[Sibling]
- V91.34XA — Hit or struck by falling object due to accident to sailboat, initial encounter[Sibling]
- V91.34XD — Hit or struck by falling object due to accident to sailboat, subsequent encounter[Sibling]
- V91.34XS — Hit or struck by falling object due to accident to sailboat, sequela[Sibling]
- V91.35 — Hit or struck by falling object due to accident to canoe or kayak[Sibling]
- V91.35XA — Hit or struck by falling object due to accident to canoe or kayak, initial encounter[Sibling]
- V91.35XD — Hit or struck by falling object due to accident to canoe or kayak, subsequent encounter[Sibling]
- V91.35XS — Hit or struck by falling object due to accident to canoe or kayak, sequela[Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Common coding questions
Does V91.39XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V91.
Sources for this page
Every coding fact on this page is read from the datasets below. Nothing is AI-generated; MedCoder-derived relationships and editorial are labelled where they appear.
- Code, title, tabular notes and index terms
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025
- Claim edits
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026)
- Change history and date-of-service validity
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger
- Comparisons, relationships and the contextual map MedCoder-derived
- Derived by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionHit or struck by falling object due to accident to unspecified watercraft, initial encounter
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V91.39XA in its code family, with their registry titles.
- V91.38 — Hit or struck by falling object due to accident to other unpowered watercraft
- V91.38XA — Hit or struck by falling object due to accident to other unpowered watercraft, initial encounter
- V91.38XD — Hit or struck by falling object due to accident to other unpowered watercraft, subsequent encounter
- V91.38XS — Hit or struck by falling object due to accident to other unpowered watercraft, sequela
- V91.39 — Hit or struck by falling object due to accident to unspecified watercraft
- V91.39XD — Hit or struck by falling object due to accident to unspecified watercraft, subsequent encounter
- V91.39XS — Hit or struck by falling object due to accident to unspecified watercraft, sequela
- V91.8 — Other injury due to other accident to watercraft
- V91.80 — Other injury due to other accident to merchant ship
- V91.80XA — Other injury due to other accident to merchant ship, initial encounter