2021

  1. ICD-10-CM Codes
    2. ›
  2. V00-Y99 External causes of morbidity
    3. ›
  3. W00-W19 Slipping, tripping, stumbling and falls
    4. ›
  4. W16- Fall, jump or diving into water
    5. ›
  5. 2021 ICD-10-CM Diagnosis Code W16.011S

2021 ICD-10-CM Diagnosis Code W16.011S

Fall into swimming pool striking water surface causing drowning and submersion, sequela

    2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
  • W16.011S is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Fall into swimming pool strk surfc causing drown, sequela
  • The 2021 edition of ICD-10-CM W16.011S became effective on October 1, 2020.
  • This is the American ICD-10-CM version of W16.011S - other international versions of ICD-10 W16.011S may differ.
ICD-10-CM Coding Rules
  • W16.011S describes the circumstance causing an injury, not the nature of the injury.
The following code(s) above W16.011S contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to W16.011S:
  • V00-Y99
    2021 ICD-10-CM Range V00-Y99

    External causes of morbidity

    Note
    • This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.
    External causes of morbidity
  • W00-W19
    2021 ICD-10-CM Range W00-W19

    Slipping, tripping, stumbling and falls

    Type 1 Excludes
    • 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)
    Type 2 Excludes
    • at risk for fall (history of fall) Z91.81
    • fall (in) (from) burning building (X00.-)
    • fall into fire (X00-X04, X08)
    Slipping, tripping, stumbling and falls
  • W16
    ICD-10-CM Diagnosis Code W16

    Fall, jump or diving into water

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • 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)
    Type 2 Excludes
    • striking or hitting diving board (W21.4)
    Fall, jump or diving into water
  • W16.0
    ICD-10-CM Diagnosis Code W16.0

    Fall into swimming pool

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Fall into swimming pool NOS
    Type 1 Excludes
    • fall into empty swimming pool (W17.3)
    Fall into swimming pool
  • W16.011
    ICD-10-CM Diagnosis Code W16.011

    Fall into swimming pool striking water surface causing drowning and submersion

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • drowning and submersion while in swimming pool without fall (W67)
    Fall into swimming pool striking water surface causing drowning and submersion
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • W16.011S is considered exempt from POA reporting.

Convert W16.011S to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
ICD-10-CM Codes Adjacent To W16.011S
W15 Fall from cliff
W15.XXXA Fall from cliff, initial encounter
W15.XXXD Fall from cliff, subsequent encounter
W15.XXXS Fall from cliff, sequela
W16 Fall, jump or diving into water
W16.0 Fall into swimming pool
W16.01 Fall into swimming pool striking water surface
W16.011 Fall into swimming pool striking water surface causing drowning and submersion
W16.011A …… initial encounter
W16.011D …… subsequent encounter
W16.011S …… sequela
W16.012 Fall into swimming pool striking water surface causing other injury
W16.012A …… initial encounter
W16.012D …… subsequent encounter
W16.012S …… sequela
W16.02 Fall into swimming pool striking bottom
W16.021 Fall into swimming pool striking bottom causing drowning and submersion
W16.021A …… initial encounter
W16.021D …… subsequent encounter
W16.021S …… sequela
W16.022 Fall into swimming pool striking bottom causing other injury

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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