2025 ICD-10-CM code X97
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Assault (X92-Y09) External causes of morbidity (V00-Y99) Feed
Assault by smoke, fire, flames, cigarettes, or incendiary devices.
Medical necessity is established by the presence of injuries directly resulting from the assault. The severity of the injuries dictates the level of medical care and interventions required.
The clinical responsibility involves documenting the nature and extent of the injuries resulting from the assault, providing appropriate medical care, and potentially testifying in legal proceedings.Documentation of the assault itself is crucial for legal and insurance purposes.
In simple words: This code is used when someone is hurt on purpose by smoke, fire, flames, a cigarette, or something meant to burn.It's used along with a code that describes the specific injury.
This ICD-10-CM code classifies assaults caused by smoke, fire, flames, cigarettes, or incendiary devices.It is used to indicate the external cause of injury, and should be used in conjunction with a code from Chapter 19 (Injury, poisoning and certain other consequences of external causes (S00-T88)) that specifies the nature of the injury sustained.
Example 1: A patient presents with second-degree burns to the face and upper body after being intentionally set on fire by an assailant.X97 would be used alongside codes specifying the burn injuries (from Chapter 19)., A victim of arson suffers from smoke inhalation and respiratory distress. X97 is used, along with codes describing the respiratory complications (from Chapter 19)., A child is injured when an assailant throws a lit cigarette at them, causing a minor burn.X97 would be used, along with a code for the specific burn injury (Chapter 19).
Detailed documentation should include the mechanism of injury (e.g., smoke inhalation, direct flame contact, cigarette burn), description of the injuries, and any witness statements.Police reports or other legal documentation may also be relevant.
** This code is applicable in cases where the intent to harm is evident.Accidental burns would not be coded with X97.The 7th character (A, D, or S) should be appended to indicate the encounter type (initial, subsequent, or sequela).
- Payment Status: Active
- Specialties:Emergency Medicine, Burn Surgery, Forensic Medicine
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office