W16.611A
W16.611A — Jumping or diving into natural body of water striking water surface causing drowning and submersion, initial encounter
Billable / specific codeICD-10-CM
W16.611A is a billable, specific ICD-10-CM code for jumping or diving into natural body of water striking water surface causing drowning and submersion, initial encounter. It is valid for submission on a claim.
7th character "A" — initial 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 natural body of water without jumping or diving (W69)
Risk adjustment
W16.611A 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.
Related codes at this level
Codes that share W16.611. If W16.611A is not quite right, the correct code is usually one of these.
Questions about W16.611A
- Is W16.611A a billable ICD-10-CM code?
- Yes. W16.611A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does W16.611A 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 W16.611A?
- W16.611A carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.