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2025 ICD-10-CM code W16.711S

Jumping or diving from boat striking water surface causing drowning and submersion, sequela.

The "S" at the end of this code indicates that is a sequela (late effect) of the original injury. This code should not be used to describe the acute phase of the drowning/submersion injury. Use this code as a secondary code, with the primary diagnosis code reflecting the specific condition caused by the original injury.

Medical necessity is established by the connection between the documented sequelae and the need for continued medical care. For example, if a patient experiences recurrent pneumonia as a consequence of the near-drowning incident, the medical necessity for treating the pneumonia would be linked back to the original event.

In simple words: This code describes the long-term effects of nearly drowning after jumping or diving from a boat and hitting the water's surface.

This code describes a late effect or sequela resulting from a drowning and submersion incident where the individual jumped or dived from a boat and struck the water surface.

Example 1: A patient presents with persistent respiratory issues and neurological deficits, a year after jumping from a boat, hitting the water, and nearly drowning., A patient experiences chronic fatigue and cognitive impairment as a long-term consequence of a near-drowning incident that occurred several months prior, after striking the water surface while diving from a boat., A child, who nearly drowned a few years ago after jumping off a boat, experiences long-term effects such as memory loss and difficulty concentrating. These are considered sequelae of the near-drowning incident.

Documentation should support the cause-and-effect relationship between the initial near-drowning incident (jumping/diving from a boat and striking water surface) and the current condition being treated. This could include the initial medical records from the near-drowning event, subsequent evaluations detailing the sequelae, and any ongoing treatment records. Any diagnostic tests that support the diagnosis of the sequelae should also be included.

** This code captures the late effects of the near-drowning incident, not the acute event itself.The code describes striking the *surface* of the water which differs from other codes capturing the impact of striking the bottom of the water body. It is crucial to have accurate documentation supporting the long-term effects and their link to the initial near-drowning event.

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