2027 ICD-10-CM Diagnosis Code W69Accidental drowning and submersion while in natural water

ICD-10-CM Codes›V01–Y99›W65-W74›W69

ICD-10-CM W69
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

W69 is a non-billable ICD-10-CM category code for accidental drowning and submersion while in natural water, so it cannot be submitted on claims. Use a more specific code from this category instead, such as W69.XXXA, W69.XXXD, and W69.XXXS.

Code Identity

ICD-10-CM Code
W69
Billable Status
No — Non-Billable Category
Code Describes
Accidental drowning and submersion while in natural water
Short Description
Accidental drowning and submersion while in natural water
Same as the full description in the CMS dataset.
Chapter
W65-W74
Accidental non-transport drowning and submersion

Code Classification

ChapterV01–Y99External causes of morbidity and mortality
SectionW65-W74Accidental non-transport drowning and submersion
CategoryW69Accidental drowning and submersion while in natural water
This CodeW69Accidental drowning and submersion while in natural water

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to W69: its own notes plus those printed at block W65-W74 and Chapter 20. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Accidental drowning and submersion while in lake
  • Accidental drowning and submersion while in open sea
  • Accidental drowning and submersion while in river
  • Accidental drowning and submersion while in stream

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

On W69 itself
From Block W65-W74 Accidental non-transport drowning and submersion applies to 15 codes
  • accidental drowning and submersion due to fall into water (W16.-)
  • accidental drowning and submersion due to water transport accident (V90.-, V92.-)

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.

From Block W65-W74 Accidental non-transport drowning and submersion applies to 15 codes
  • accidental drowning and submersion due to cataclysm (X34-X39)

Notes

General instructions on how these codes are used.

From Chapter 20 (V00-Y99) External causes of morbidity and mortality applies to 7,461 codes
  • 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 code W69
  • 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 W69, its category, or a range that includes it.

Excludes1 6

These codes carry an Excludes1 note naming W69: they are not reported together with it, unless the two conditions are unrelated.

  • W16.111 Fall into natural body of water striking water surface causing drowning and submersion
    drowning and submersion while in natural body of water without fall (W69)
  • W16.121 Fall into natural body of water striking bottom causing drowning and submersion
    drowning and submersion while in natural body of water without fall (W69)
  • W16.131 Fall into natural body of water striking side causing drowning and submersion
    drowning and submersion while in natural body of water without fall (W69)
  • W16.611 Jumping or diving into natural body of water striking water surface causing drowning and submersion
    drowning and submersion while in natural body of water without jumping or diving (W69)
  • W16.621 Jumping or diving into natural body of water striking bottom causing drowning and submersion
    drowning and submersion while in natural body of water without jumping or diving (W69)
  • W16 Fall, jump or diving into water
    accidental non-watercraft drowning and submersion not involving fall (W65-W74) names W65-W74, which includes this code

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index; each main term links to its index entry.

Patient EducationClinical

Drowning

People drown when they get too much water in their lungs. You can drown in as little as an inch or two of water. Babies can drown in a sink or bathtub. Preschoolers are most likely to drown in a swimming pool. People who have seizure disorders are also at risk in the water. Drowning can happen quickly and silently.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About W69Overview

What is the ICD-10 code for accidental drowning and submersion while in natural water?

W69 is the ICD-10-CM category for accidental drowning and submersion while in natural water, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is W69 (Accidental drowning and submersion while in natural water) a billable code?

No. This is a category header that groups the codes for accidental drowning and submersion while in natural water, and headers cannot be submitted on claims. Claims for accidental drowning and submersion while in natural water need a more specific code from this category, such as W69.XXXA, W69.XXXD, and W69.XXXS.

Can W69 be reported with W16.111?

Not as a rule. The Excludes1 note on W69 lists "accidental drowning and submersion due to fall into natural body of water (W16.111, W16.121, W16.131)". 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).