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ICD-10/Y35.039

Y35.039 ICD-10-CM Code: Legal intervention involving injury by rifle pellet, unspecified person injured

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Legal intervention involving injury by rifle pellet, unspecified person injured is a non-billable ICD-10-CM category code (Y35.039). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for Y35.039 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • 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

Change history

  • FY2020 — 2019-10-01
    Added to the code set
    Legal intervention involving injury by rifle pellet, unspecified person injured
    FY2020 changes

Verify Before Coding

  • Not billable as written — a more specific code is required: Y35.039A, Y35.039D, Y35.039S.
  • Requires a 7th character. "The appropriate 7th character is to be added to each code from category Y35" Options: Y35.039A, Y35.039D, Y35.039S
  • Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name Y35.039 or its code family.

19 Excludes1 notes: W32 (via Y35.0.-), W33 (via Y35.0.-), X92 (via Y35.-), X92-Y09 (via Y35.-), X93 (via Y35.-), X94 (via Y35.-), X95 (via Y35.-), X96 (via Y35.-), X97 (via Y35.-), X98 (via Y35.-) and 9 more.

Frequently Asked Questions (FAQ) & Clinical Guidance

Can Y35.039 be billed directly?

No. Y35.039 (Legal intervention involving injury by rifle pellet, unspecified person injured) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does Y35.039 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category Y35.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Y35.039 in its code family, with their registry titles.

  • Y35.032S — Legal intervention involving injury by rifle pellet, bystander injured, sequela
  • Y35.033 — Legal intervention involving injury by rifle pellet, suspect injured
  • Y35.033A — Legal intervention involving injury by rifle pellet, suspect injured, initial encounter
  • Y35.033D — Legal intervention involving injury by rifle pellet, suspect injured, subsequent encounter
  • Y35.033S — Legal intervention involving injury by rifle pellet, suspect injured, sequela
  • Y35.039A — Legal intervention involving injury by rifle pellet, unspecified person injured, initial encounter
  • Y35.039D — Legal intervention involving injury by rifle pellet, unspecified person injured, subsequent encounter
  • Y35.039S — Legal intervention involving injury by rifle pellet, unspecified person injured, sequela
  • Y35.04 — Legal intervention involving injury by rubber bullet
  • Y35.041 — Legal intervention involving injury by rubber bullet, law enforcement official injured

View all codes in the Y35 family

Indexed As (2)

Circumstance phrases from the official ICD-10-CM External Cause of Injuries Index that map to this code.

  • Discharge (accidental), firearm (accidental), hunting rifle, legal intervention, injuring, unspecified person
  • Legal, intervention (by), firearm (s) (discharge), rifle pellet, injuring, unspecified person