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Y35 ICD-10-CM Code: Legal intervention

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FY 2026 Apr update / External causes of morbidity (V00-Y99) / Legal intervention, operations of war, military operations, and terrorism (Y35-Y38)

Y35

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

Legal intervention

Legal intervention

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
Y3Legal intervention, operations of war, military operations, and terrorism (Y35-Y38)
Y35Legal intervention

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Y35 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Y35 in this effective period.

Related Child Codes

Official
Y35.0Legal intervention involving firearm discharge
Y35.1Legal intervention involving explosives
Y35.2Legal intervention involving gas
Y35.3Legal intervention involving blunt objects
Y35.4Legal intervention involving sharp objects

Includes

Official
  • 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

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Y35 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Y35 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Y35 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Y35 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

Y35 is the ICD-10-CM diagnosis code for legal intervention. Y35 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering legal intervention, operations of war, military operations, and terrorism (y35-y38).

Header codes like Y35 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 Y35'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 Y35 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

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

Child Codes

Code Hierarchy

Y35Legal intervention
Y35Legal intervention

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