2025 ICD-10-CM code V92.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Transport accidents (V00-V99) External causes of morbidity (V00-Y99) Feed
Drowning and submersion due to falling from a watercraft.
Modifiers may be applied based on the specific circumstances and procedures performed.Refer to the appropriate modifier guidelines for details.
Medical necessity is established by the clinical presentation of the patient following the incident. This may include symptoms such as respiratory distress, altered mental status, and hypothermia. Documentation supporting these findings is essential for reimbursement.
The clinical responsibility involves documenting the circumstances surrounding the drowning or submersion incident, including the type of watercraft, the nature of the fall, and any contributing factors.Treatment provided should also be fully documented.
In simple words: This code is for when someone drowns or is submerged in water after falling off a boat, ship, or other water vehicle.
This code classifies drowning and submersion incidents resulting from a fall from a watercraft.The fall from the watercraft is the external cause leading to the drowning or submersion.This code is to be used secondarily to a code from another chapter specifying the nature of the injury or condition (e.g., injury codes from Chapter 19).
Example 1: A person falls overboard a fishing boat during rough seas and drowns.Code V92.0 is used secondarily to the code describing the cause of death (e.g., asphyxiation due to drowning)., A child falls from a small motorboat while playing and is submerged, requiring rescue and subsequent hospital treatment for near-drowning.Code V92.0 is used secondarily to codes for the injuries sustained., An individual slips on a wet gangplank and falls into the water, suffering hypothermia and requiring emergency care. Code V92.0 is used along with appropriate codes for hypothermia and any other injuries.
Detailed documentation is needed, including:* Type of watercraft involved.* Circumstances of the fall (e.g., accidental slip, intentional jump).* Time elapsed between the fall and rescue.* Any resuscitation efforts performed.* Extent of submersion.* Observed injuries and/or symptoms.* Treatment administered.
** Always ensure the complete clinical picture is accurately reflected in the coding to reflect the complexity of the event and the patient's condition.
- Payment Status: Active
- Modifier TC rule: Depending on the scenario, a TC modifier might be applicable.Consider this based on the type of procedure performed and the provider's role.
- Specialties:Emergency Medicine, Family Medicine, Internal Medicine
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital