Is V92.04 a billable ICD-10-CM code?

No. V92.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V92.04 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Water transport accidents (V90-V94).

What cannot be coded together with V92.04?

V92.04 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above V92.04 (V92) and apply to it just the same.

V92.04

V92.04 — Drowning and submersion due to fall off sailboat

Non-billable headerICD-10-CM

V92.04 is a non-billable header ICD-10-CM code for drowning and submersion due to fall off sailboat. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category V92

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above V92.04

These are not written on V92.04, but they bind it: a note on a category applies to every code beneath it. Billing V92.04 with anything listed here is a denial.

Written on V92 — Drowning and submersion due to accident on board watercraft, without accident to watercraft

civilian water transport accident involving military watercraft (V94.81-)
drowning or submersion due to accident to watercraft (V90-V91)
drowning or submersion of diver who voluntarily jumps from boat not involved in an accident (W16.711, W16.721)
fall into water without watercraft (W16.-)
military watercraft accident in military or war operations (Y36, Y37)

Excludes2 inherited from the categories above V92.04

Also inherited, and the opposite of Excludes1: these conditions are not part of V92.04, but a patient can have both, so you may code both.

Written on V92.0 — Drowning and submersion due to fall off watercraft

hitting head on object or bottom of body of water due to fall from watercraft (V94.0-)

Other codes that can never be billed with V92.04

These codes carry an Excludes1 note pointing at V92.04. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V92.04 alone.

V90Drowning and submersion due to accident to watercraft

Risk adjustment

V92.04 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How V92.04 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to V92.04.

Drowning›due to›fall overboard›unpowered craft›sailboat

Code history

V92.04 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead V92.04

3 child codes. Green means billable.

Related codes at this level

Codes that share V92.0. If V92.04 is not quite right, the correct code is usually one of these.

Questions about V92.04

Is V92.04 a billable ICD-10-CM code?: No. V92.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V92.04 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Water transport accidents (V90-V94).
What cannot be coded together with V92.04?: V92.04 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above V92.04 (V92) and apply to it just the same.