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W38 vs Y37

W38 (Explosion and rupture of other specified pressurized devices) compared with Y37 (Military operations), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. W38 carries an Excludes1 note covering Y37: “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

W38Explosion and rupture of other specified pressurized devicesY37Military operations
Billing statusNon-billable header

Report instead: W38.XXXA, W38.XXXD, W38.XXXS

Non-billable header

Report instead: Y37.000A, Y37.000D, Y37.000S, Y37.001A, Y37.001D

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionExplosion and rupture of other specified pressurized devices is a non-billable ICD-10-CM category code (W38).Military operations is a non-billable ICD-10-CM category code (Y37).
7th characterThe appropriate 7th character is to be added to code W38The appropriate 7th character is to be added to each code from category Y37
Includes
injuries to military personnel and civilians occurring during peacetime on military property and during routine military exercises and operations

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources