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Compare/X02 vs X97

X02 vs X97

X02 (Exposure to controlled fire in building or structure) compared with X97 (Assault by smoke, fire and flames), 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. X02 carries an Excludes1 note covering X97: “arson (X97)”

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

X02Exposure to controlled fire in building or structureX97Assault by smoke, fire and flames
Billing statusNon-billable header

Report instead: X02.0XXA, X02.0XXD, X02.0XXS, X02.1XXA, X02.1XXD

Non-billable header

Report instead: X97.XXXA, X97.XXXD, X97.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionExposure to controlled fire in building or structure is a non-billable ICD-10-CM category code (X02).Assault by smoke, fire and flames is a non-billable ICD-10-CM category code (X97).
7th characterThe appropriate 7th character is to be added to each code from category X02The appropriate 7th character is to be added to code X97
Includes
exposure to fire in fireplace
exposure to fire in stove
homicide
injuries inflicted by another person with intent to injure or kill, by any means
Assault by arson
Assault by cigarettes

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