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Compare/X36.0 vs X38

X36.0 vs X38

X36.0 (Collapse of dam or man-made structure causing earth movement) compared with X38 (Flood), 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. X38 carries an Excludes1 note covering X36.0: “collapse of dam or man-made structure causing earth movement (X36.0)”

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

X36.0Collapse of dam or man-made structure causing earth movementX38Flood
Billing statusNon-billable header

Report instead: X36.0XXA, X36.0XXD, X36.0XXS

Non-billable header

Report instead: X38.XXXA, X38.XXXD, X38.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionCollapse of dam or man-made structure causing earth movement is a non-billable ICD-10-CM category code (X36.0).Flood is a non-billable ICD-10-CM category code (X38).
7th characterThe appropriate 7th character is to be added to each code from category X36The appropriate 7th character is to be added to code X38
Includes
victim of mudslide of cataclysmic nature
Flood arising from remote storm
Flood of cataclysmic nature arising from melting snow
Flood resulting directly from storm

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