Y35.0 — Legal intervention involving firearm discharge
Y35.0 is a non-billable header ICD-10-CM code for legal intervention involving firearm discharge. 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
Other codes that can never be billed with Y35.0
These codes carry an Excludes1 note pointing at Y35.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Y35.0 alone.
Risk adjustment
Y35.0 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 to one of these instead Y35.0
6 child codes. Green means billable.
- Y35.00Legal intervention involving unspecified firearm discharge
- Y35.01Legal intervention involving injury by machine gun
- Y35.02Legal intervention involving injury by handgun
- Y35.03Legal intervention involving injury by rifle pellet
- Y35.04Legal intervention involving injury by rubber bullet
- Y35.09Legal intervention involving other firearm discharge
Related codes at this level
Codes that share Y35. If Y35.0 is not quite right, the correct code is usually one of these.
Questions about Y35.0
- Is Y35.0 a billable ICD-10-CM code?
- No. Y35.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Y35.0 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Legal intervention, operations of war, military operations, and terrorism (Y35-Y38).