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ICD-10/Y35.049

Y35.049 ICD-10-CM Code: Legal intervention involving injury by rubber bullet, 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 rubber bullet, unspecified person injured is a non-billable ICD-10-CM category code (Y35.049). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for Y35.049 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 rubber bullet, unspecified person injured
    FY2020 changes

Verify Before Coding

  • Not billable as written — a more specific code is required: Y35.049A, Y35.049D, Y35.049S.
  • Requires a 7th character. "The appropriate 7th character is to be added to each code from category Y35" Options: Y35.049A, Y35.049D, Y35.049S
  • 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.

Contextual Map

Every relationship of Y35.049 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99) [Hierarchy]
  • Y35-Y38 — Legal intervention, operations of war, military operations, and terrorism [Hierarchy]

Referenced by Excludes1 notes (19)

  • W32 — Accidental handgun discharge and malfunction [Excludes1](via Y35.0.-): “handgun discharge involving legal intervention (Y35.0-)”
  • W33 — Accidental rifle, shotgun and larger firearm discharge and malfunction [Excludes1](via Y35.0.-): “firearm discharge involving legal intervention (Y35.0-)”
  • X92 — Assault by drowning and submersion [Excludes1](via Y35.-): “injuries due to legal intervention (Y35.-)”
  • X92-Y09 — Assault (X92-Y09) [Excludes1](via Y35.-): “injuries due to legal intervention (Y35.-)”
  • X93 — Assault by handgun discharge [Excludes1](via Y35.-): “injuries due to legal intervention (Y35.-)”
  • X94 — Assault by rifle, shotgun and larger firearm discharge [Excludes1](via Y35.-): “injuries due to legal intervention (Y35.-)”
  • X95 — Assault by other and unspecified firearm and gun discharge [Excludes1](via Y35.-): “injuries due to legal intervention (Y35.-)”
  • X96 — Assault by explosive material [Excludes1](via Y35.-): “injuries due to legal intervention (Y35.-)”
  • and 11 more

External cause index

  • Discharge (accidental), firearm (accidental), legal intervention, using rubber bullet, injuring, unspecified person[External cause term]
  • Legal, intervention (by), firearm (s) (discharge), rubber bullet, injuring, unspecified person[External cause term]

Nearest codes (40)

  • Y35 — Legal intervention [Sibling]
  • Y35.033A — Legal intervention involving injury by rifle pellet, suspect injured, initial encounter [Sibling]
  • Y35.033D — Legal intervention involving injury by rifle pellet, suspect injured, subsequent encounter [Sibling]
  • Y35.033S — Legal intervention involving injury by rifle pellet, suspect injured, sequela [Sibling]
  • Y35.039 — Legal intervention involving injury by rifle pellet, unspecified person injured [Sibling]
  • Y35.039A — Legal intervention involving injury by rifle pellet, unspecified person injured, initial encounter [Sibling]
  • Y35.039D — Legal intervention involving injury by rifle pellet, unspecified person injured, subsequent encounter [Sibling]
  • Y35.039S — Legal intervention involving injury by rifle pellet, unspecified person injured, sequela [Sibling]
  • and 32 more

Change history

  • FY2020 — Added to the code set [Change history]

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name Y35.049 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 Y35.049 be billed directly?

No. Y35.049 (Legal intervention involving injury by rubber bullet, 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 Y35.049 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 Y35.049 in its code family, with their registry titles.

  • Y35.042S — Legal intervention involving injury by rubber bullet, bystander injured, sequela
  • Y35.043 — Legal intervention involving injury by rubber bullet, suspect injured
  • Y35.043A — Legal intervention involving injury by rubber bullet, suspect injured, initial encounter
  • Y35.043D — Legal intervention involving injury by rubber bullet, suspect injured, subsequent encounter
  • Y35.043S — Legal intervention involving injury by rubber bullet, suspect injured, sequela
  • Y35.049A — Legal intervention involving injury by rubber bullet, unspecified person injured, initial encounter
  • Y35.049D — Legal intervention involving injury by rubber bullet, unspecified person injured, subsequent encounter
  • Y35.049S — Legal intervention involving injury by rubber bullet, unspecified person injured, sequela
  • Y35.09 — Legal intervention involving other firearm discharge
  • Y35.091 — Legal intervention involving other firearm discharge, 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), legal intervention, using rubber bullet, injuring, unspecified person
  • Legal, intervention (by), firearm (s) (discharge), rubber bullet, injuring, unspecified person