W16.111: Fall into natural body of water striking water surface causing drowning and submersion
W16.111 is a non-billable header ICD-10-CM code for fall into natural body of water striking water surface causing drowning and submersion. 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 W16
- 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 while in natural body of water without fall (W69)
Excludes1 inherited from the categories above W16.111
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above W16.111
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with W16.111
Their own Excludes1 notes name this code, so the conflict is not listed above.
- V90Drowning and submersion due to accident to watercraft
- V92Drowning and submersion due to accident on board watercraft, without accident to watercraft
- W69Accidental drowning and submersion while in natural water
- W69.XXXAAccidental drowning and submersion while in natural water, initial encounter
- W69.XXXDAccidental drowning and submersion while in natural water, subsequent encounter
- W69.XXXSAccidental drowning and submersion while in natural water, sequela
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Drowning›in›natural water›following›fall
- Drowning›following›fall›into›water NOS›natural(lake) (open sea) (river) (stream) (pond)
- Fall, falling›into›water›in›natural body of water›causing drowning
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead W16.111
3 child codes. Green means billable.
- W16.111AFall into natural body of water striking water surface causing drowning and submersion, initial encounter
- W16.111DFall into natural body of water striking water surface causing drowning and submersion, subsequent encounter
- W16.111SFall into natural body of water striking water surface causing drowning and submersion, sequela