Y36.91XA ICD-10-CM Code: War operations involving unspecified weapon of mass destruction [WMD], initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 1 inclusion term · 2 Excludes1
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Y36.91XA in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on Y36.91XA itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries to military personnel and civilians caused by war, civil insurrection, and peacekeeping missions
Source: inherited from Y36
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- injury to military personnel occurring during peacetime military operations (Y37.-) Compare Y36.91XA vs Y37 →
- military vehicles involved in transport accidents with non-military vehicle during peacetime (V09.01, V09.21, V19.81, V29.818, V39.81, V49.81, V59.81, V69.81, V79.81) Compare Y36.91XA vs V09.01 →
Source: inherited from Y36
7th Character Guide
"The appropriate 7th character is to be added to each code from category Y36"
- A — initial encounter (this page’s code)
- D — subsequent encounter
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- 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 in Claim Check.
Relationships & Classification
Other codes that name Y36.91XA or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 45 Excludes1 notes: W20 — Struck by thrown, projected or falling object (via Y36.-), W20-W49 — Exposure to inanimate mechanical forces (W20-W49) (via Y36.-), W21 — Striking against or struck by sports equipment (via Y36.-), W22 — Striking against or struck by other objects (via Y36.-), W23 — Caught, crushed, jammed or pinched in or between objects (via Y36.-), W24 — Contact with lifting and transmission devices, not elsewhere classified (via Y36.-), W25 — Contact with sharp glass (via Y36.-), W26 — Contact with other sharp objects (via Y36.-), W27 — Contact with nonpowered hand tool (via Y36.-), W28 — Contact with powered lawn mower (via Y36.-), W29 — Contact with other powered hand tools and household machinery (via Y36.-), W30 — Contact with agricultural machinery (via Y36.-), W31 — Contact with other and unspecified machinery (via Y36.-), W32 — Accidental handgun discharge and malfunction (via Y36.-), W33 — Accidental rifle, shotgun and larger firearm discharge and malfunction (via Y36.-), W34 — Accidental discharge and malfunction from other and unspecified firearms and guns (via Y36.-), W35 — Explosion and rupture of boiler (via Y36.-), W36 — Explosion and rupture of gas cylinder (via Y36.-), W37 — Explosion and rupture of pressurized tire, pipe or hose (via Y36.-), W38 — Explosion and rupture of other specified pressurized devices (via Y36.-), +25 more.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Clinical classification (AHRQ CCSR):EXT018 — External cause codes: other specified, classifiable and NEC; initial encounter; EXT024 — External cause codes: intent of injury, legal intervention/war.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (External cause codes: other specified, classifiable and NEC; initial encounter, External cause codes: intent of injury, legal intervention/war).
Y36.7X1A — War operations involving chemical weapons and other forms of unconventional warfare, civilian, initial encounter, Y36.810A — Explosion of mine placed during war operations but exploding after cessation of hostilities, military personnel, initial encounter, Y36.811A — Explosion of mine placed during war operations but exploding after cessation of hostilities, civilian, initial encounter, Y36.820A — Explosion of bomb placed during war operations but exploding after cessation of hostilities, military personnel, initial encounter, Y36.821A — Explosion of bomb placed during war operations but exploding after cessation of hostilities, civilian, initial encounter, Y36.880A — Other war operations occurring after cessation of hostilities, military personnel, initial encounter, Y36.881A — Other war operations occurring after cessation of hostilities, civilian, initial encounter, Y36.890A — Unspecified war operations occurring after cessation of hostilities, military personnel, initial encounter, Y36.891A — Unspecified war operations occurring after cessation of hostilities, civilian, initial encounter, Y36.90XA — War operations, unspecified, initial encounter, Y36.92XA — War operations involving friendly fire, initial encounter, Y36.A1XA — Low level blast overpressure in war operations, initial encounter, Y36.A2XA — High level blast overpressure in war operations, initial encounter, Y37.000A — Military operations involving explosion of unspecified marine weapon, military personnel, initial encounter, Y37.001A — Military operations involving explosion of unspecified marine weapon, civilian, initial encounter, Y37.010A — Military operations involving explosion of depth-charge, military personnel, initial encounter, Y37.011A — Military operations involving explosion of depth-charge, civilian, initial encounter, Y37.020A — Military operations involving explosion of marine mine, military personnel, initial encounter, Y37.021A — Military operations involving explosion of marine mine, civilian, initial encounter, Y37.030A — Military operations involving explosion of sea-based artillery shell, military personnel, initial encounter, +554 more
Contextual Map
Every relationship of Y36.91XA 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.
Run Y36.91XA with these 8 related codes in Claim Check
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y35-Y38 — Legal intervention, operations of war, military operations, and terrorism[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes (45)
- W20 — Struck by thrown, projected or falling object[Excludes1](via Y36.-): “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- W20-W49 — Exposure to inanimate mechanical forces (W20-W49)[Excludes1](via Y36.-): “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- W21 — Striking against or struck by sports equipment[Excludes1](via Y36.-): “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- W22 — Striking against or struck by other objects[Excludes1](via Y36.-): “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- W23 — Caught, crushed, jammed or pinched in or between objects[Excludes1](via Y36.-): “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- W24 — Contact with lifting and transmission devices, not elsewhere classified[Excludes1](via Y36.-): “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- W25 — Contact with sharp glass[Excludes1](via Y36.-): “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- W26 — Contact with other sharp objects[Excludes1](via Y36.-): “exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 37 more
Clinical classification (CCSR)
- EXT018 — External cause codes: other specified, classifiable and NEC; initial encounter[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- EXT024 — External cause codes: intent of injury, legal intervention/war[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Nearest codes (40)
- Y36 — Operations of war[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y36.821S — Explosion of bomb placed during war operations but exploding after cessation of hostilities, civilian, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y36.88 — Other war operations occurring after cessation of hostilities[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y36.880 — Other war operations occurring after cessation of hostilities, military personnel[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y36.880A — Other war operations occurring after cessation of hostilities, military personnel, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y36.880D — Other war operations occurring after cessation of hostilities, military personnel, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y36.880S — Other war operations occurring after cessation of hostilities, military personnel, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y36.881 — Other war operations occurring after cessation of hostilities, civilian[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Does Y36.91XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category Y36.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionWar operations involving unspecified weapon of mass destruction [WMD], initial encounter
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Y36.91XA in its code family, with their registry titles.
- Y36.90 — War operations, unspecified
- Y36.90XA — War operations, unspecified, initial encounter
- Y36.90XD — War operations, unspecified, subsequent encounter
- Y36.90XS — War operations, unspecified, sequela
- Y36.91 — War operations involving unspecified weapon of mass destruction [WMD]
- Y36.91XD — War operations involving unspecified weapon of mass destruction [WMD], subsequent encounter
- Y36.91XS — War operations involving unspecified weapon of mass destruction [WMD], sequela
- Y36.92 — War operations involving friendly fire
- Y36.92XA — War operations involving friendly fire, initial encounter
- Y36.92XD — War operations involving friendly fire, subsequent encounter