ICD-10 X94
Non-Billable HeaderAssault by rifle, shotgun and larger firearm discharge
About ICD-10-CM X94
ICD-10-CM code X94 represents Assault by rifle, shotgun and larger firearm discharge. This is a non-billable header code in the External Causes of Morbidity chapter (block X94). The 2026 edition of ICD-10-CM X94 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.
Type 1 Excludes
Pure excludes, these codes can never be coded together with X94. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- airgun (X95.01)
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to each code from category X94
Medicare LCD Coverage for X94
Local Coverage Determinations (LCDs) from CMS MACs that list X94 as a covered diagnosis.
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 X94.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but X94 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with X94
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 X94
Other codes in section X92-Y09 (Assault).
ICD-10 X94, Billing FAQ
Is ICD-10 code X94 billable? +
No, X94 is a non-billable header code. Use a more specific child code from block X94 when submitting claims.
What codes are Type 1 Excludes for X94? +
Type 1 Excludes (never code together with X94): airgun (X95.01)
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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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