W16.311: Fall into other water striking water surface causing drowning and submersion
W16.311 is a non-billable header ICD-10-CM code for fall into other 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 other water without fall (W73)
Excludes1 inherited from the categories above W16.311
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above W16.311
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with W16.311
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
- W73Other specified cause of accidental non-transport drowning and submersion
- W73.XXXAOther specified cause of accidental non-transport drowning and submersion, initial encounter
- W73.XXXDOther specified cause of accidental non-transport drowning and submersion, subsequent encounter
- W73.XXXSOther specified cause of accidental non-transport drowning and submersion, sequela
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Drowning›in›specified place NEC›following›fall
- Drowning›following›fall›into›water NOS›specified NEC
- Fall, falling›into›water›in›specified water NEC›causing drowning
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead W16.311
3 child codes. Green means billable.
- W16.311AFall into other water striking water surface causing drowning and submersion, initial encounter
- W16.311DFall into other water striking water surface causing drowning and submersion, subsequent encounter
- W16.311SFall into other water striking water surface causing drowning and submersion, sequela