ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 X04

Non-Billable Header

Exposure to ignition of highly flammable material

X04
Block
3
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM X04

ICD-10-CM code X04 represents Exposure to ignition of highly flammable material. This is a non-billable header code in the External Causes of Morbidity chapter (block X04). The 2026 edition of ICD-10-CM X04 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under X04. Per CMS ICD-10-CM Tabular 2026.

  • Exposure to ignition of gasoline
  • Exposure to ignition of kerosene
  • Exposure to ignition of petrol

Type 2 Excludes

Not included here, the excluded code is not part of X04, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • exposure to ignition or melting of nightwear (X05)
  • exposure to ignition or melting of other clothing and apparel (X06)

Coding Notes

Seven Chr Note

  • The appropriate 7th character is to be added to code X04

Medicare LCD Coverage for X04

Local Coverage Determinations (LCDs) from CMS MACs that list X04 as a covered diagnosis.

No Medicare LCDs reference X04 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing X04.

No commercial payer policies reference X04 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but X04 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with X04

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for X04

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Codes Adjacent To X04

Other codes in section X00-X08 (Exposure to smoke, fire and flames).

X00 Exposure to uncontrolled fire in building or structure (non-billable) X00.0 Exposure to flames in uncontrolled fire in building or structure (non-billable) X00.1 Exposure to smoke in uncontrolled fire in building or structure (non-billable) X00.2 Injury due to collapse of burning building or structure in uncontrolled fire (non-billable) X00.3 Fall from burning building or structure in uncontrolled fire (non-billable) X00.4 Hit by object from burning building or structure in uncontrolled fire (non-billable) X00.5 Jump from burning building or structure in uncontrolled fire (non-billable) X00.8 Other exposure to uncontrolled fire in building or structure (non-billable) X01 Exposure to uncontrolled fire, not in building or structure (non-billable) X01.0 Exposure to flames in uncontrolled fire, not in building or structure (non-billable) X01.1 Exposure to smoke in uncontrolled fire, not in building or structure (non-billable) X01.3 Fall due to uncontrolled fire, not in building or structure (non-billable) X01.4 Hit by object due to uncontrolled fire, not in building or structure (non-billable) X01.8 Other exposure to uncontrolled fire, not in building or structure (non-billable) X02 Exposure to controlled fire in building or structure (non-billable) X02.0 Exposure to flames in controlled fire in building or structure (non-billable) X02.1 Exposure to smoke in controlled fire in building or structure (non-billable) X02.2 Injury due to collapse of burning building or structure in controlled fire (non-billable) X02.3 Fall from burning building or structure in controlled fire (non-billable) X02.4 Hit by object from burning building or structure in controlled fire (non-billable)

ICD-10 X04, Billing FAQ

Is ICD-10 code X04 billable? +

No, X04 is a non-billable header code. Use a more specific child code from block X04 when submitting claims.

What other names or terms map to X04? +

ICD-10 X04 includes: Exposure to ignition of gasoline; Exposure to ignition of kerosene; Exposure to ignition of petrol.

What codes are Type 2 Excludes for X04? +

Type 2 Excludes (may be coded together when both conditions exist): exposure to ignition or melting of nightwear (X05); exposure to ignition or melting of other clothing and apparel (X06)

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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