ICD-10 X97
Non-Billable HeaderAssault by smoke, fire and flames
About ICD-10-CM X97
ICD-10-CM code X97 represents Assault by smoke, fire and flames. This is a non-billable header code in the External Causes of Morbidity chapter (block X97). The 2026 edition of ICD-10-CM X97 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 X97. Per CMS ICD-10-CM Tabular 2026.
- Assault by arson
- Assault by cigarettes
- Assault by incendiary device
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to code X97
Medicare LCD Coverage for X97
Local Coverage Determinations (LCDs) from CMS MACs that list X97 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 X97.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but X97 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with X97
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 X97
Other codes in section X92-Y09 (Assault).
ICD-10 X97, Billing FAQ
Is ICD-10 code X97 billable? +
No, X97 is a non-billable header code. Use a more specific child code from block X97 when submitting claims.
What other names or terms map to X97? +
ICD-10 X97 includes: Assault by arson; Assault by cigarettes; Assault by incendiary device.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team