W16.2 — Fall in (into) filled bathtub or bucket of water
W16.2 is a non-billable header ICD-10-CM code for fall in (into) filled bathtub or bucket of water. 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
Other codes that can never be billed with W16.2
These codes carry an Excludes1 note pointing at W16.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W16.2 alone.
- W18.2Fall in (into) shower or empty bathtub
- W18.2XXAFall in (into) shower or empty bathtub, initial encounter
- W18.2XXDFall in (into) shower or empty bathtub, subsequent encounter
- W18.2XXSFall in (into) shower or empty bathtub, sequela
- W65Accidental drowning and submersion while in bath-tub
- W65.XXXAAccidental drowning and submersion while in bath-tub, initial encounter
- W65.XXXDAccidental drowning and submersion while in bath-tub, subsequent encounter
- W65.XXXSAccidental drowning and submersion while in bath-tub, sequela
Risk adjustment
W16.2 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 W16.2
2 child codes. Green means billable.
Related codes at this level
Codes that share W16. If W16.2 is not quite right, the correct code is usually one of these.
- W16.0Fall into swimming pool
- W16.1Fall into natural body of water
- W16.3Fall into other water
- W16.4Fall into unspecified water
- W16.5Jumping or diving into swimming pool
- W16.6Jumping or diving into natural body of water
- W16.7Jumping or diving from boat
- W16.8Jumping or diving into other water
- W16.9Jumping or diving into unspecified water
Questions about W16.2
- Is W16.2 a billable ICD-10-CM code?
- No. W16.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W16.2 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).