W22.041 — Striking against wall of swimming pool causing drowning and submersion
W22.041 is a non-billable header ICD-10-CM code for striking against wall of swimming pool 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 W22
- 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 swimming without striking against wall (W67)
Other codes that can never be billed with W22.041
These codes carry an Excludes1 note pointing at W22.041. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W22.041 alone.
- W67Accidental drowning and submersion while in swimming-pool
- W67.XXXAAccidental drowning and submersion while in swimming-pool, initial encounter
- W67.XXXDAccidental drowning and submersion while in swimming-pool, subsequent encounter
- W67.XXXSAccidental drowning and submersion while in swimming-pool, sequela
Risk adjustment
W22.041 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.
How W22.041 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to W22.041.
- Striking against›wall›swimming pool›causing drowning
Code to one of these instead W22.041
3 child codes. Green means billable.
Related codes at this level
Codes that share W22.04. If W22.041 is not quite right, the correct code is usually one of these.
Questions about W22.041
- Is W22.041 a billable ICD-10-CM code?
- No. W22.041 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does W22.041 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Exposure to inanimate mechanical forces (W20-W49).
- What cannot be coded together with W22.041?
- W22.041 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.