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X34 ICD-10-CM Code: Earthquake

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FY 2026 Apr update / External causes of morbidity (V00-Y99) / Exposure to forces of nature (X30-X39)

X34

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Earthquake

Earthquake

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
X3Exposure to forces of nature (X30-X39)
X34Earthquake

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for X34 in this effective period.

Excludes 2

Official
  • tidal wave (tsunami) due to earthquake (X37.41)

Related Child Codes

Official

ICD-10-CM does not list child codes under X34 for this display context.

Includes

Official

ICD-10-CM does not list Includes notes for X34 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for X34 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for X34 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for X34 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for X34 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

X34 is the ICD-10-CM diagnosis code for earthquake. X34 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering exposure to forces of nature (x30-x39).

Header codes like X34 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at X34's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for X34 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • tidal wave (tsunami) due to earthquake (X37.41)

Code Hierarchy

X34Earthquake
X34Earthquake

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