Coding and coverage · ICD-10-CM

Y35 › Y35.1 › Y35.11 › Y35.113

Y35.113A Legal intervention involving injury by dynamite, suspect injured, initial encounter

BillableNo payment HCCChapter 20

7th character A: initial encounter

Instructional notes

Chapter 20

Notes
  • This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.

Y35

Includes
  • any injury sustained as a result of an encounter with any law enforcement official, serving in any capacity at the time of the encounter, whether on-duty or off-duty. Includes: injury to law enforcement official, suspect and bystander
7th charactersThe appropriate 7th character is to be added to each code from category Y35
  • A initial encounter
  • D subsequent encounter
  • S sequela

Chapter 20: External causes of morbidity · Y35-Y38 Legal intervention, operations of war, military operations, and terrorism (Y35-Y38)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.