W16.331D
W16.331D: Fall into other water striking wall causing drowning and submersion, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
W16.331D is a billable, specific ICD-10-CM code for fall into other water striking wall causing drowning and submersion, subsequent encounter. It is valid for submission on a claim.
Check W16.331D with the rest of the claim: free scrubber7th character "D": subsequent encounter
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 W16.331D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above W16.331D
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with W16.331D
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.