W16.13 — Fall into natural body of water striking side

Not billable

Is W16.13 billable?

No — W16.13 is a non-billable header code. W16.13 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 6 billable codes beneath W16.13.

Billable codes under this header

W16.131AFall into natural body of water striking side causing drowning and submersion, initial encounter
W16.131DFall into natural body of water striking side causing drowning and submersion, subsequent encounter
W16.131SFall into natural body of water striking side causing drowning and submersion, sequela
W16.132AFall into natural body of water striking side causing other injury, initial encounter
W16.132DFall into natural body of water striking side causing other injury, subsequent encounter
W16.132SFall into natural body of water striking side causing other injury, sequela

W16.13 at a glance

Code	W16.13
Description	Fall into natural body of water striking side
Billable	No — header code
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Excludes1 — never code together — inherited from W00-W19

The conditions below can never be reported together with W16.13 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

assault involving a fall (Y01-Y02)
fall from animal (V80.-)
fall (in) (from) machinery (in operation) (W28-W31)
fall (in) (from) transport vehicle (V01-V99)
intentional self-harm involving a fall (X80-X81)

Excludes1 — never code together — inherited from W16

The conditions below can never be reported together with W16.13 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

accidental non-watercraft drowning and submersion not involving fall (W65-W74)
effects of air pressure from diving (W94.-)
fall into water from watercraft (V90-V94)
hitting an object or against bottom when falling from watercraft (V94.0)

Excludes2 — not included here — inherited from W00-W19

The conditions below are not part of W16.13, but a patient may have both at the same time. When documentation supports it, W16.13 and the excluded code may both be reported.

at risk for fall (history of fall) Z91.81
fall (in) (from) burning building (X00.-)
fall into fire (X00-X04, X08)

Excludes2 — not included here — inherited from W16

The conditions below are not part of W16.13, but a patient may have both at the same time. When documentation supports it, W16.13 and the excluded code may both be reported.

striking or hitting diving board (W21.4)

What codes fall under W16.13? (2)

How long has W16.13 existed?

W16.13 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.