2025 ICD-10-CM code X95

Assault by other and unspecified firearm and gun discharge.

Ensure the code accurately reflects the circumstances of the assault.If specific details regarding the firearm are known, consider using a more specific code if available.Always use this code in conjunction with injury codes from chapter 19.

Modifiers may apply depending on the specific circumstances and services provided. Consult current coding guidelines.

Medical necessity is established by the presence of injuries directly related to the assault. Treatment provided must be appropriate and necessary to address the injuries sustained.

The clinical responsibility for this code involves documenting the nature and extent of injuries resulting from the assault, providing appropriate treatment, and reporting the incident as required by law.

IMPORTANT Related codes may include those specifying the type of firearm or other details of the assault if known.Consider codes from chapters 19 (Injury, poisoning and certain other consequences of external causes) and 20 (External causes of morbidity and mortality) for additional information on the injury and circumstances.

In simple words: This code is used when someone is hurt in an attack involving a gun, but the exact details of the gun or how it was used are not known.

This ICD-10-CM code classifies assaults caused by firearms, excluding those specified elsewhere.It's used when the type of firearm or the specifics of the discharge are unknown or unspecified. This code is secondary to a code from another chapter indicating the nature of the injury sustained.

Example 1: A patient presents to the emergency room with gunshot wounds to the chest and abdomen after being involved in a drive-by shooting. The type of firearm is unknown., A patient is admitted with a gunshot wound to the leg sustained during a robbery.The assailant used an unspecified firearm., A patient is seen in the clinic for follow-up care after a previous assault involving an unspecified firearm. The patient is experiencing ongoing pain and mobility issues.

Detailed documentation is required, including:

** This code should always be used as a secondary code, following the primary code that describes the injury itself.Accurate documentation is crucial for appropriate reimbursement.

  • Payment Status: Active
  • Modifier TC rule: Not applicable.
  • Specialties:Emergency Medicine, Trauma Surgery, General Surgery, Orthopedics
  • Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Outpatient Hospital
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