W67

W67: Accidental drowning and submersion while in swimming-pool

Non-billable headerICD-10-CM

W67 is a non-billable header ICD-10-CM code for accidental drowning and submersion while in swimming-pool. 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 code W67

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.

accidental drowning and submersion due to fall into swimming pool (W16.011, W16.021, W16.031)
accidental drowning and submersion due to striking into wall of swimming pool (W22.041)

Other codes that can never be billed with W67

Their own Excludes1 notes name this code, so the conflict is not listed above.

W16.011Fall into swimming pool striking water surface causing drowning and submersion
W16.011AFall into swimming pool striking water surface causing drowning and submersion, initial encounter
W16.011DFall into swimming pool striking water surface causing drowning and submersion, subsequent encounter
W16.011SFall into swimming pool striking water surface causing drowning and submersion, sequela
W16.021Fall into swimming pool striking bottom causing drowning and submersion
W16.021AFall into swimming pool striking bottom causing drowning and submersion, initial encounter
W16.021DFall into swimming pool striking bottom causing drowning and submersion, subsequent encounter
W16.021SFall into swimming pool striking bottom causing drowning and submersion, sequela

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Drowning›in›swimming-pool

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead W67

3 child codes. Green means billable.