In simple words: This code describes a situation where someone was thrown off a powered watercraft (like a motorboat) due to its movement and nearly drowned or experienced a submersion incident. This is not the first time they have sought medical care for this specific incident.

Drowning and submersion due to being thrown overboard by the motion of other powered watercraft, subsequent encounter.

Example 1: A passenger on a speedboat is thrown overboard when the boat hits a wave. The passenger ingests water and briefly loses consciousness before being rescued. They are taken to the emergency room and discharged. A few days later, they experience persistent coughing and seek a follow-up appointment. The code V92.13XD is applied at the subsequent encounter., A person is thrown from a jet ski when it collides with another watercraft. They are submerged for a short time and struggle to breathe. They are seen in the emergency department and released. A week later, they go to their doctor for continued breathing difficulty, where V92.13XD is applied. , A person is thrown off a fishing boat by the wake of a larger vessel. They are rescued quickly but swallow a significant amount of water. They are treated at an urgent care facility and released. They return a few days later with ongoing nausea and vomiting, where V92.13XD would be used.

Documentation should support that the drowning or submersion event was caused specifically by being thrown overboard by the motion of another powered watercraft. Details of the incident, symptoms, treatment provided, and any ongoing issues should be clearly documented. The documentation should also clearly indicate that this is a subsequent encounter for this specific drowning/submersion event.

** For accurate reporting, it's crucial to differentiate between initial and subsequent encounters related to the drowning/submersion event. The 7th character 'D' explicitly denotes a subsequent encounter, so V92.13XD should only be used for encounters after the initial treatment. It is also important to document if the powered watercraft the patient was thrown from was a jet ski or other small powered boat.