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

W65-W74 — Accidental non-transport drowning and submersion

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

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

Codes in range

15

No clinical group

15

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

None of the 15 codes in W65-W74 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.

Code families in W65-W74

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in W65-W74

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
W65XXXAAccidental drowning and submersion while in bath-tub, initNoneCannot lead a claim
W65XXXDAccidental drowning and submersion while in bath-tub, subsNoneCannot lead a claim
W65XXXSAccidental drown while in bath-tub, sequelaNoneCannot lead a claim
W67XXXAAccidental drown while in swimming-pool, initNoneCannot lead a claim
W67XXXDAccidental drown while in swimming-pool, subsNoneCannot lead a claim
W67XXXSAccidental drown while in swimming-pool, sequelaNoneCannot lead a claim
W69XXXAAccidental drown while in natural water, initNoneCannot lead a claim
W69XXXDAccidental drown while in natural water, subsNoneCannot lead a claim
W69XXXSAccidental drown while in natural water, sequelaNoneCannot lead a claim
W73XXXAOth cause of accidental non-transport drown, initNoneCannot lead a claim
W73XXXDOth cause of accidental non-transport drown, subsNoneCannot lead a claim
W73XXXSOth cause of accidental non-transport drown, sequelaNoneCannot lead a claim
W74XXXAUnsp cause of accidental drowning and submersion, initNoneCannot lead a claim
W74XXXDUnsp cause of accidental drowning and submersion, subsNoneCannot lead a claim
W74XXXSUnsp cause of accidental drowning and submersion, sequelaNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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