ICD-10 Y35
Non-Billable HeaderLegal intervention
About ICD-10-CM Y35
ICD-10-CM code Y35 represents Legal intervention. This is a non-billable header code in the External Causes of Morbidity chapter (block Y35). The 2026 edition of ICD-10-CM Y35 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.
Includes
- any injury sustained as a result of an encounter with any law enforcement official, serving in any capacity at the time of the encounter, whether on-duty or off-duty. Includes: injury to law enforcement official, suspect and bystander
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to each code from category Y35
Medicare LCD Coverage for Y35
Local Coverage Determinations (LCDs) from CMS MACs that list Y35 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 Y35.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Y35 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Y35
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 Y35
Other codes in section Y35-Y38 (Legal intervention, operations of war, military operations, and terrorism).
ICD-10 Y35, Billing FAQ
Is ICD-10 code Y35 billable? +
No, Y35 is a non-billable header code. Use a more specific child code from block Y35 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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