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Compare/X96 vs Y35

X96 vs Y35

X96 (Assault by explosive material) compared with Y35 (Legal intervention), 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. X96 carries an Excludes1 note covering Y35: “injuries due to legal intervention (Y35.-)”

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

X96Assault by explosive materialY35Legal intervention
Billing statusNon-billable header

Report instead: X96.0XXA, X96.0XXD, X96.0XXS, X96.1XXA, X96.1XXD

Non-billable header

Report instead: Y35.001A, Y35.001D, Y35.001S, Y35.002A, Y35.002D

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionAssault by explosive material is a non-billable ICD-10-CM category code (X96).Legal intervention is a non-billable ICD-10-CM category code (Y35).
7th characterThe appropriate 7th character is to be added to each code from category X96The appropriate 7th character is to be added to each code from category Y35
Includes
homicide
injuries inflicted by another person with intent to injure or kill, by any means
any injury sustained as a result of an encounter with any law enforcement official, serving in any capacity at the time of the encounter, whether on-duty or off-duty. Includes: injury to law enforcement official, suspect and bystander

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