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W16.41XD

W16.41XDFall into unspecified water causing drowning and submersion, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

W16.41XD is a billable, specific ICD-10-CM code for fall into unspecified water causing drowning and submersion, subsequent encounter. It is valid for submission on a claim.

7th 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 inherited from the categories above W16.41XD

These are not written on W16.41XD, but they bind it: a note on a category applies to every code beneath it. Billing W16.41XD with anything listed here is a denial.

Written on W16 Fall, jump or diving into water

  • accidental non-watercraft drowning and submersion not involving fall (W65-W74)
  • effects of air pressure from diving (W94.-)
  • fall into water from watercraft (V90-V94)
  • hitting an object or against bottom when falling from watercraft (V94.0)

Excludes2 inherited from the categories above W16.41XD

Also inherited, and the opposite of Excludes1: these conditions are not part of W16.41XD, but a patient can have both, so you may code both.

Written on W16 Fall, jump or diving into water

  • striking or hitting diving board (W21.4)

Other codes that can never be billed with W16.41XD

These codes carry an Excludes1 note pointing at W16.41XD. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W16.41XD alone.

  • V90Drowning and submersion due to accident to watercraft
  • V92Drowning and submersion due to accident on board watercraft, without accident to watercraft

Risk adjustment

W16.41XD 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 history

W16.41XD has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share W16.41. If W16.41XD is not quite right, the correct code is usually one of these.

Questions about W16.41XD

Is W16.41XD a billable ICD-10-CM code?
Yes. W16.41XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does W16.41XD sit in the tabular list?
External causes of morbidity (V00-Y99), in the block Slipping, tripping, stumbling and falls (W00-W19).
What cannot be coded together with W16.41XD?
W16.41XD carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above W16.41XD (W16) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.