2027 ICD-10-CM Diagnosis Code W16Fall, jump or diving into water
W16 is a non-billable ICD-10-CM category code for fall, jump or diving into water, so it cannot be submitted on claims. Use a more specific code from this category instead, such as W16.011A, W16.011D, W16.011S, and W16.012A.
Code Identity
Code Classification
Specific Coding for Fall, jump or diving into waterOverview
Non-specific codes like W16 require more characters. Use one of these billable codes instead:
W16.0 for Fall into swimming pool
W16.01 for Fall into swimming pool striking water surface
W16.02 for Fall into swimming pool striking bottom
W16.03 for Fall into swimming pool striking wall
W16.1 for Fall into natural body of water
W16.11 for Fall into natural body of water striking water surface
W16.12 for Fall into natural body of water striking bottom
W16.13 for Fall into natural body of water striking side
W16.2 for Fall in (into) filled bathtub or bucket of water
W16.21 for Fall in (into) filled bathtub
W16.22 for Fall in (into) bucket of water
W16.3 for Fall into other water
W16.31 for Fall into other water striking water surface
W16.32 for Fall into other water striking bottom
W16.33 for Fall into other water striking wall
W16.4 for Fall into unspecified water
W16.41 for Fall into unspecified water causing drowning and submersion
W16.42 for Fall into unspecified water causing other injury
W16.5 for Jumping or diving into swimming pool
W16.51 for Jumping or diving into swimming pool striking water surface
W16.52 for Jumping or diving into swimming pool striking bottom
W16.53 for Jumping or diving into swimming pool striking wall
W16.6 for Jumping or diving into natural body of water
W16.61 for Jumping or diving into natural body of water striking water surface
W16.62 for Jumping or diving into natural body of water striking bottom
W16.7 for Jumping or diving from boat
W16.71 for Jumping or diving from boat striking water surface
W16.72 for Jumping or diving from boat striking bottom
W16.8 for Jumping or diving into other water
W16.81 for Jumping or diving into other water striking water surface
W16.82 for Jumping or diving into other water striking bottom
W16.83 for Jumping or diving into other water striking wall
W16.9 for Jumping or diving into unspecified water
W16.91 for Jumping or diving into unspecified water causing drowning and submersion
W16.92 for Jumping or diving into unspecified water causing other injury
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to W16: its own notes plus those printed at block W00-W19 and Chapter 20. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- striking or hitting diving board (W21.4)
Notes
General instructions on how these codes are used.
- 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.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category W16
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name W16, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming W16: they are not reported together with it, unless the two conditions are unrelated.
- V90 Drowning and submersion due to accident to watercraftfall into water not from watercraft (W16.-)
- V92 Drowning and submersion due to accident on board watercraft, without accident to watercraftfall into water without watercraft (W16.-)
- Block W65-W74 Accidental non-transport drowning and submersionaccidental drowning and submersion due to fall into water (W16.-)
Use Additional Code 1
These codes say to use an additional code from the note, and W16 is one of the codes named.
Patient EducationClinical
Falls
Falls can be dangerous at any age. Babies and young children can get hurt falling off furniture or down the stairs. Older children may fall off playground equipment. For older adults, falls can be especially serious. They are at higher risk of falling.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About W16Overview
What is the ICD-10 code for fall, jump or diving into water?
W16 is the ICD-10-CM category for fall, jump or diving into water, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is W16 (Fall, jump or diving into water) a billable code?
No. This is a category header that groups the codes for fall, jump or diving into water, and headers cannot be submitted on claims. Claims for fall, jump or diving into water need a more specific code from this category, such as W16.011A, W16.011D, and W16.011S.
Can W16 be reported with a code from W94?
Not as a rule. The Excludes1 note on W16 lists "effects of air pressure from diving (W94.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).