ICDcodes.org
FY2027

W16.131DFall into natural body of water striking side causing drowning and submersion, subsequent encounter

Billable

Is W16.131D billable?

Yes — W16.131D is billable for FY2027. W16.131D is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. W16.131D may be submitted for encounters from October 1, 2026 through September 30, 2027.

W16.131D at a glance

CodeW16.131D
DescriptionFall into natural body of water striking side causing drowning and submersion, subsequent encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "D"subsequent encounter

What does the 7th character "D" mean in W16.131D?

In W16.131D, the 7th character D means subsequent encounter. The 7th character is required for W16.131D to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

How is W16.131D listed in the External Cause Index?

The External Cause of Injuries Index lists these routes under W16.131, the nearest indexed parent of W16.131D. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.

  • Striking againstwallfalling into waternatural bodycausing drowning
  • Drowninginnatural waterfollowingfallstrikingside (accidental)
  • Drowningfollowingfallintowater NOSnaturalstrikingside (accidental)
  • Fall, fallingintowaterinnatural body of waterstrikingsidecausing drowning (accidental)

Excludes1 — never code together

The conditions below can never be reported together with W16.131D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • drowning and submersion while in natural body of water without fall (W69)

Excludes1 — never code together — inherited from W00-W19

The conditions below can never be reported together with W16.131D 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 W16.131D 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)

Excludes1 — never code together — inherited from W16.131

The conditions below can never be reported together with W16.131D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • drowning and submersion while in natural body of water without fall (W69)

Excludes2 — not included here — inherited from W00-W19

The conditions below are not part of W16.131D, but a patient may have both at the same time. When documentation supports it, W16.131D 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 W16.131D, but a patient may have both at the same time. When documentation supports it, W16.131D and the excluded code may both be reported.

  • striking or hitting diving board (W21.4)

How long has W16.131D existed?

W16.131D 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.