Is V92.1 a billable ICD-10-CM code?

No. V92.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V92.1 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 V92.1?

V92.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

V92.1

V92.1 — Drowning and submersion due to being thrown overboard by motion of watercraft

Non-billable headerICD-10-CM

V92.1 is a non-billable header ICD-10-CM code for drowning and submersion due to being thrown overboard by motion of watercraft. 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 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

drowning and submersion due to fall off surf-board (V92.08)
drowning and submersion due to fall off water-skis (V92.07)
drowning and submersion due to fall off windsurfer (V92.08)

Risk adjustment

V92.1 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.

Code to one of these instead V92.1

8 child codes. Green means billable.

Related codes at this level

Codes that share V92. If V92.1 is not quite right, the correct code is usually one of these.

Questions about V92.1

Is V92.1 a billable ICD-10-CM code?: No. V92.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V92.1 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 V92.1?: V92.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.