Is Y38.3 a billable ICD-10-CM code?

No. Y38.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Y38.3 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).

What cannot be coded together with Y38.3?

Y38.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Y38.3

Y38.3 — Terrorism involving fires, conflagration and hot substances

Non-billable headerICD-10-CM

Y38.3 is a non-billable header ICD-10-CM code for terrorism involving fires, conflagration and hot substances. 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 Y38

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

terrorism involving fire or heat of nuclear weapon (Y38.5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Terrorism involving conflagration NOS
Terrorism involving fire NOS
Terrorism involving petrol bomb

Risk adjustment

Y38.3 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 Y38.3

1 child code. Green means billable.

Y38.3XTerrorism involving fires, conflagration and hot substances

Related codes at this level

Codes that share Y38. If Y38.3 is not quite right, the correct code is usually one of these.

Questions about Y38.3

Is Y38.3 a billable ICD-10-CM code?: No. Y38.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Y38.3 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).
What cannot be coded together with Y38.3?: Y38.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.