Y35
Y35: Legal intervention
Non-billable headerICD-10-CM
Y35 is a non-billable header ICD-10-CM code for legal intervention. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category Y35
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Includes
Conditions this code covers.
- 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
Other codes that can never be billed with Y35
Their own Excludes1 notes name this code, so the conflict is not listed above.
- W32Accidental handgun discharge and malfunction
- W33Accidental rifle, shotgun and larger firearm discharge and malfunction
- W40Explosion of other materials
- W40.8Explosion of other specified explosive materials
- W40.8XXAExplosion of other specified explosive materials, initial encounter
- W40.8XXDExplosion of other specified explosive materials, subsequent encounter
- W40.8XXSExplosion of other specified explosive materials, sequela
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead Y35
7 child codes. Green means billable.
- Y35.0Legal intervention involving firearm discharge
- Y35.1Legal intervention involving explosives
- Y35.2Legal intervention involving gas
- Y35.3Legal intervention involving blunt objects
- Y35.4Legal intervention involving sharp objects
- Y35.8Legal intervention involving other specified means
- Y35.9Legal intervention, means unspecified