W16.42XS
W16.42XS: Fall into unspecified water causing other injury, sequela
Billable / specific codeICD-10-CMPOA exempt
W16.42XS is a billable, specific ICD-10-CM code for fall into unspecified water causing other injury, sequela. It is valid for submission on a claim.
Check W16.42XS with the rest of the claim: free scrubber7th character "S": sequela
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 W16.42XS
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above W16.42XS
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with W16.42XS
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.