2025 ICD-10-CM code V92.13XS

Sequela of drowning and submersion due to being thrown overboard by the motion of other powered watercraft.

This code is to be used as a secondary code, along with codes from other chapters which describe the specific injury or condition that resulted from the accident.Correct sequencing and appropriate documentation are crucial for accurate coding and reimbursement.

Modifiers may be applicable depending on the specific circumstances and the codes used to describe the sequelae.Consult the most current coding guidelines for appropriate modifier usage.

Medical necessity would be established by the presence of persistent health problems resulting from the drowning/submersion incident.Documentation must support the link between the accident and the ongoing need for treatment or rehabilitation.

The clinical responsibility would depend on the specific sequelae.It could involve various specialists such as pulmonologists (for respiratory issues), neurologists (for neurological damage), or rehabilitation specialists.

IMPORTANT Related codes include V92.13XA (initial encounter) and V92.13XD (subsequent encounter) for the same event but at different stages of care.Other codes may be necessary to describe the specific resulting conditions.

In simple words: This code is for long-term health problems that happen after someone is thrown from a moving boat or ship into the water and drowns or nearly drowns.

This code classifies the late effects (sequelae) resulting from drowning and submersion caused by being thrown overboard from a powered watercraft due to its movement.It is used when the initial encounter is in the past and the patient is experiencing lasting consequences of the event.This code should be used in conjunction with codes from other chapters specifying the nature of the resulting conditions.

Example 1: A patient was thrown overboard during a storm on a ferry. They experienced prolonged submersion, resulting in hypoxic brain injury and requiring long-term rehabilitation. V92.13XS would be used to code the sequelae of the accident along with codes specifying the brain injury and rehabilitation needs., A passenger on a speedboat was thrown overboard when the boat hit a large wave.They suffered lung damage from water inhalation and needed ongoing respiratory therapy. V92.13XS would be used along with codes describing the respiratory complications., A child was thrown from a small motorboat during rough waters. They experienced near-drowning and developed post-traumatic stress disorder (PTSD).In addition to codes related to PTSD, V92.13XS would be utilized to reflect the long-term consequences of the water transport accident.

Detailed documentation is essential, including the circumstances of the accident (type of watercraft, weather conditions, etc.), the extent of submersion, any rescue efforts, and the resulting injuries or conditions that persist as sequelae.Medical records should include initial assessments, treatment plans, and ongoing monitoring of the patient’s recovery.

** The "XS" seventh character indicates that this is a sequela code.Proper documentation is critical for justifying the use of this code as it needs to clearly demonstrate a causal relationship between the initial accident and the ongoing health problems.

  • Payment Status: Active
  • Specialties:Emergency medicine, critical care, pulmonology, neurology, rehabilitation medicine, psychiatry (if PTSD or other mental health issues result).
  • Place of Service:Emergency Room - Hospital, Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Office, Home
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.