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X93 vs X95.8

X93 (Assault by handgun discharge) compared with X95.8 (Assault by other firearm discharge), 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. X93 carries an Excludes1 note covering X95.8: “Very pistol (X95.8)”

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

X93Assault by handgun dischargeX95.8Assault by other firearm discharge
Billing statusNon-billable header

Report instead: X93.XXXA, X93.XXXD, X93.XXXS

Non-billable header

Report instead: X95.8XXA, X95.8XXD, X95.8XXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionAssault by handgun discharge is a non-billable ICD-10-CM category code (X93).Assault by other firearm discharge is a non-billable ICD-10-CM category code (X95.8).
7th characterThe appropriate 7th character is to be added to code X93The appropriate 7th character is to be added to each code from category X95
Includes
homicide
injuries inflicted by another person with intent to injure or kill, by any means
Assault by discharge of gun for single hand use
Assault by discharge of pistol
homicide
injuries inflicted by another person with intent to injure or kill, by any means
Assault by very pistol [flare] discharge

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