MCMedicalCodingSoftware
X00.4XXS

X00.4XXSHit by object from burning building or structure in uncontrolled fire, sequela

Billable / specific codeICD-10-CM

X00.4XXS is a billable, specific ICD-10-CM code for hit by object from burning building or structure in uncontrolled fire, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category X00

A
initial encounter
D
subsequent encounter
S
sequela

Excludes2 inherited from the categories above X00.4XXS

Also inherited, and the opposite of Excludes1: these conditions are not part of X00.4XXS, but a patient can have both, so you may code both.

Written on X00 Exposure to uncontrolled fire in building or structure

  • Exposure to ignition or melting of nightwear (X05)
  • Exposure to ignition or melting of other clothing and apparel (X06.-)
  • Exposure to other specified smoke, fire and flames (X08.-)

Other codes that can never be billed with X00.4XXS

These codes carry an Excludes1 note pointing at X00.4XXS. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading X00.4XXS alone.

  • W13.9Fall from, out of or through building, not otherwise specified
  • W13.9XXAFall from, out of or through building, not otherwise specified, initial encounter
  • W13.9XXDFall from, out of or through building, not otherwise specified, subsequent encounter
  • W13.9XXSFall from, out of or through building, not otherwise specified, sequela

Risk adjustment

X00.4XXS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

X00.4XXS has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share X00.4. If X00.4XXS is not quite right, the correct code is usually one of these.

Questions about X00.4XXS

Is X00.4XXS a billable ICD-10-CM code?
Yes. X00.4XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does X00.4XXS sit in the tabular list?
External causes of morbidity (V00-Y99), in the block Exposure to smoke, fire and flames (X00-X08).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.