Is Y35.191 a billable ICD-10-CM code?

No. Y35.191 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Y35.191 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).

Y35.191

Y35.191 — Legal intervention involving other explosives, law enforcement official injured

Non-billable headerICD-10-CM

Y35.191 is a non-billable header ICD-10-CM code for legal intervention involving other explosives, law enforcement official injured. 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

Risk adjustment

Y35.191 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.

How Y35.191 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Y35.191.

Explosion›grenade›in›legal intervention›injuring›law enforcement personnel
Explosion›mortar bomb›in›legal intervention›injuring›law enforcement personnel
Legal›intervention›explosive›grenade›injuring›law enforcement personnel
Legal›intervention›explosive›mortar bomb›injuring›law enforcement personnel
Legal›intervention›explosive›specified NEC›injuring›law enforcement personnel
Explosion›explosive›specified NEC›in›legal intervention›injuring›law enforcement personnel

Code to one of these instead Y35.191

3 child codes. Green means billable.

Related codes at this level

Codes that share Y35.19. If Y35.191 is not quite right, the correct code is usually one of these.

Questions about Y35.191

Is Y35.191 a billable ICD-10-CM code?: No. Y35.191 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Y35.191 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).