Y38.80XS ICD-10-CM Code: Terrorism involving unspecified means, sequela
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 · 1 use-additional code
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Y38.80XS in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on Y38.80XS itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Terrorism NOS
Source: inherited from Y38.80
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code for place of occurrence (Y92.-)
Source: inherited from Y38
7th Character Guide
"The appropriate 7th character is to be added to each code from category Y38"
- A — initial encounter
- D — subsequent encounter
- S — sequela (this page’s code)
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.
Official Coding Guidelines
Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.
Chapter 20: External Causes of Morbidity (V00-Y99)
1) Cause of injury identified by the Federal Government (FBI) as terrorism When the cause of an injury is identified by the Federal Government (FBI) as terrorism, the first-listed external cause code should be a code from category Y38, Terrorism. The definition of terrorism employed by the FBI is found at the inclusion note at the beginning of category Y38. Use additional code for place of occurrence (Y92.-). More than one Y38 code may be assigned if the injury is the result of more than one mechanism of terrorism.
Chapter 20: External Causes of Morbidity (V00-Y99)
2) Cause of an injury is suspected to be the result of terrorism When the cause of an injury is suspected to be the result of terrorism a code from category Y38 should not be assigned. Suspected cases should be classified as assault.
Chapter 20: External Causes of Morbidity (V00-Y99)
It is acceptable to assign code Y38.9 with another code from Y38 if there is an injury due to the initial terrorist event and an injury that is a subsequent result of the terrorist event.
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 Y38.80XS 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 17 Excludes1 notes: X92 — Assault by drowning and submersion (via Y38.-), X92-Y09 — Assault (X92-Y09) (via Y38.-), X93 — Assault by handgun discharge (via Y38.-), X94 — Assault by rifle, shotgun and larger firearm discharge (via Y38.-), X95 — Assault by other and unspecified firearm and gun discharge (via Y38.-), X96 — Assault by explosive material (via Y38.-), X97 — Assault by smoke, fire and flames (via Y38.-), X98 — Assault by steam, hot vapors and hot objects (via Y38.-), X99 — Assault by sharp object (via Y38.-), Y00 — Assault by blunt object (via Y38.-), Y01 — Assault by pushing from high place (via Y38.-), Y02 — Assault by pushing or placing victim in front of moving object (via Y38.-), Y03 — Assault by crashing of motor vehicle (via Y38.-), Y04 — Assault by bodily force (via Y38.-), Y07 — Perpetrator of assault, maltreatment and neglect (via Y38.-), Y08 — Assault by other specified means (via Y38.-), Y09 — Assault by unspecified means (via Y38.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Clinical classification (AHRQ CCSR):EXT030 — External cause codes: sequela.
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 category (External cause codes: sequela).
Contextual Map
Every relationship of Y38.80XS 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 Y38.80XS 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 (17)
- X92 — Assault by drowning and submersion[Excludes1](via Y38.-): “injuries due to terrorism (Y38.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- X92-Y09 — Assault (X92-Y09)[Excludes1](via Y38.-): “injuries due to terrorism (Y38.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- X93 — Assault by handgun discharge[Excludes1](via Y38.-): “injuries due to terrorism (Y38.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- X94 — Assault by rifle, shotgun and larger firearm discharge[Excludes1](via Y38.-): “injuries due to terrorism (Y38.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- X95 — Assault by other and unspecified firearm and gun discharge[Excludes1](via Y38.-): “injuries due to terrorism (Y38.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- X96 — Assault by explosive material[Excludes1](via Y38.-): “injuries due to terrorism (Y38.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- X97 — Assault by smoke, fire and flames[Excludes1](via Y38.-): “injuries due to terrorism (Y38.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- X98 — Assault by steam, hot vapors and hot objects[Excludes1](via Y38.-): “injuries due to terrorism (Y38.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 9 more
Clinical classification (CCSR)
- EXT030 — External cause codes: sequela[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Nearest codes (40)
- Y38 — Terrorism[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y38.6X3D — Terrorism involving biological weapons, terrorist injured, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y38.6X3S — Terrorism involving biological weapons, terrorist injured, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y38.7 — Terrorism involving chemical weapons[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y38.7X — Terrorism involving chemical weapons[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y38.7X1 — Terrorism involving chemical weapons, public safety official injured[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y38.7X1A — Terrorism involving chemical weapons, public safety official injured, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y38.7X1D — Terrorism involving chemical weapons, public safety official injured, subsequent encounter[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 Y38.80XS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category Y38.
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
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section 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 adoptionTerrorism involving unspecified means, sequela
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 Y38.80XS in its code family, with their registry titles.
- Y38.7X3S — Terrorism involving chemical weapons, terrorist injured, sequela
- Y38.8 — Terrorism involving other and unspecified means
- Y38.80 — Terrorism involving unspecified means
- Y38.80XA — Terrorism involving unspecified means, initial encounter
- Y38.80XD — Terrorism involving unspecified means, subsequent encounter
- Y38.81 — Terrorism involving suicide bomber
- Y38.811 — Terrorism involving suicide bomber, public safety official injured
- Y38.811A — Terrorism involving suicide bomber, public safety official injured, initial encounter
- Y38.811D — Terrorism involving suicide bomber, public safety official injured, subsequent encounter
- Y38.811S — Terrorism involving suicide bomber, public safety official injured, sequela