ICD-10 W22.041
Non-Billable HeaderStriking against wall of swimming pool causing drowning and submersion
About ICD-10-CM W22.041
ICD-10-CM code W22.041 represents Striking against wall of swimming pool causing drowning and submersion. This is a non-billable header code in the External Causes of Morbidity chapter (block W22). The 2026 edition of ICD-10-CM W22.041 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with W22.041. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- drowning and submersion while swimming without striking against wall (W67)
Medicare LCD Coverage for W22.041
Local Coverage Determinations (LCDs) from CMS MACs that list W22.041 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing W22.041.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but W22.041 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with W22.041
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To W22.041
Other codes in section W20-W49 (Exposure to inanimate mechanical forces).
ICD-10 W22.041, Billing FAQ
Is ICD-10 code W22.041 billable? +
No, W22.041 is a non-billable header code. Use a more specific child code from block W22 when submitting claims.
What codes are Type 1 Excludes for W22.041? +
Type 1 Excludes (never code together with W22.041): drowning and submersion while swimming without striking against wall (W67)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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