Is W67 a billable ICD-10-CM code?

No. W67 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does W67 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Accidental non-transport drowning and submersion (W65-W74).

What cannot be coded together with W67?

W67 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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

These codes carry an Excludes1 note pointing at W67. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading W67 alone.

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

W67 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 W67 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 W67.

Drowning›in›swimming-pool

Code to one of these instead W67

3 child codes. Green means billable.

Questions about W67

Is W67 a billable ICD-10-CM code?: No. W67 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does W67 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Accidental non-transport drowning and submersion (W65-W74).
What cannot be coded together with W67?: W67 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.