October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Y21 Drowning and submersion, undetermined intent

All 21 codes in the Y21 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

21

Can lead a claim

0

Cannot lead a claim

21

What CMS assigns to Y21

None of the 21 codes is assigned a clinical group. None of the 21 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Y21

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Y21.0 Drowning and submersion while in bathtub, undetermined intent
Y21.0XXADrowning and submersion while in bathtub, undetermined intent, initial encounterCMS: Drown while in bathtub, undetermined intent, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.0XXDDrowning and submersion while in bathtub, undetermined intent, subsequent encounterCMS: Drown while in bathtub, undetermined intent, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.0XXSDrowning and submersion while in bathtub, undetermined intent, sequelaCMS: Drown while in bathtub, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.1 Drowning and submersion after fall into bathtub, undetermined intent
Y21.1XXADrowning and submersion after fall into bathtub, undetermined intent, initial encounterCMS: Drown after fall into bathtub, undetermined intent, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.1XXDDrowning and submersion after fall into bathtub, undetermined intent, subsequent encounterCMS: Drown after fall into bathtub, undetermined intent, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.1XXSDrowning and submersion after fall into bathtub, undetermined intent, sequelaCMS: Drown after fall into bathtub, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.2 Drowning and submersion while in swimming pool, undetermined intent
Y21.2XXADrowning and submersion while in swimming pool, undetermined intent, initial encounterCMS: Drown while in swimming pool, undetermined intent, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.2XXDDrowning and submersion while in swimming pool, undetermined intent, subsequent encounterCMS: Drown while in swimming pool, undetermined intent, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.2XXSDrowning and submersion while in swimming pool, undetermined intent, sequelaCMS: Drown while in swimming pool, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.3 Drowning and submersion after fall into swimming pool, undetermined intent
Y21.3XXADrowning and submersion after fall into swimming pool, undetermined intent, initial encounterCMS: Drown after fall into swimming pool, undet intent, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.3XXDDrowning and submersion after fall into swimming pool, undetermined intent, subsequent encounterCMS: Drown after fall into swimming pool, undet intent, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.3XXSDrowning and submersion after fall into swimming pool, undetermined intent, sequelaCMS: Drown after fall into swimming pool, undet intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.4 Drowning and submersion in natural water, undetermined intent
Y21.4XXADrowning and submersion in natural water, undetermined intent, initial encounterCMS: Drown in natural water, undetermined intent, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.4XXDDrowning and submersion in natural water, undetermined intent, subsequent encounterCMS: Drown in natural water, undetermined intent, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.4XXSDrowning and submersion in natural water, undetermined intent, sequelaCMS: Drown in natural water, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.8 Other drowning and submersion, undetermined intent
Y21.8XXAOther drowning and submersion, undetermined intent, initial encounterCMS: Oth drowning and submersion, undetermined intent, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.8XXDOther drowning and submersion, undetermined intent, subsequent encounterCMS: Oth drowning and submersion, undetermined intent, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.8XXSOther drowning and submersion, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.9 Unspecified drowning and submersion, undetermined intent
Y21.9XXAUnspecified drowning and submersion, undetermined intent, initial encounterCMS: Unsp drowning and submersion, undetermined intent, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.9XXDUnspecified drowning and submersion, undetermined intent, subsequent encounterCMS: Unsp drowning and submersion, undetermined intent, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y21.9XXSUnspecified drowning and submersion, undetermined intent, sequelaCMS: Unsp drowning and submersion, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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