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Y07 vs Y35

Y07 (Perpetrator of assault, maltreatment and neglect) 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. Y07 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

Y07Perpetrator of assault, maltreatment and neglectY35Legal intervention
Billing statusNon-billable header

Report instead: Y07.010, Y07.011, Y07.020, Y07.021, Y07.030

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)
DefinitionPerpetrator of assault, maltreatment and neglect is a non-billable ICD-10-CM category code (Y07).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 Y35
Includes
perpetrator of abandonment
perpetrator of emotional neglect
perpetrator of mental cruelty
perpetrator of physical abuse
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