2025 ICD-10-CM code Y04

Assault by bodily force, excluding assaults involving strangulation, submersion, or weapons.

Adhere to the official ICD-10-CM coding guidelines and conventions. Use the most specific code possible to reflect the nature of the assault.

Modifiers are not applicable to ICD-10 codes.

Medical necessity is established by the presence of injuries sustained during the assault requiring medical attention.The severity of injuries will dictate the level of care required.

The clinical responsibility depends on the specific injuries sustained and the services provided. It could involve various medical professionals, including emergency medicine physicians, surgeons, and other specialists depending on the severity and nature of the injuries.

IMPORTANT Y04.1 (Assault by human bite), Y04.2 (Assault by strike against or bumped into by another person), Y04.8 (Assault by other bodily force).Codes X91-X99 and Y00-Y09 should be considered for more specific types of assault.

In simple words: This code is used when someone is hurt by another person using only their body, such as punching or kicking, without weapons or other things.

This code classifies assaults inflicted by bodily force without the use of weapons or other means, such as strangulation or submersion.It encompasses situations where physical force is directly applied to cause harm, including unarmed brawls or fights.Excludes assaults involving specific weapons (X93-X95, X99, Y00), strangulation (X91), submersion (X92), or sexual assault (Y05).

Example 1: A patient presents to the emergency room after a bar fight, sustaining a concussion, facial lacerations, and a fractured nose.Code Y04 would be used to describe the assault., A patient is brought to the clinic with bruises and contusions after being physically attacked by a stranger. Code Y04 would be appropriate in this scenario., A patient is treated for multiple soft tissue injuries after a physical altercation with a family member at home.Code Y04 would be used, along with codes for the specific injuries.

Detailed documentation is crucial, including a description of the assault, injuries sustained, mechanism of injury, and the identity of the assailant (if known).Medical records should include any treatment administered and the patient's subsequent progress.

** Always ensure that the documentation supports the use of code Y04.Consider using additional codes to specify the nature of the injuries sustained. If the assault involved a weapon, the appropriate code for the weapon should also be used in conjunction with Y04. Refer to the complete ICD-10-CM manual for comprehensive guidelines.

  • Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
  • RVU: RVUs are not applicable to ICD-10 codes.
  • Global Days : Not applicable to ICD-10 codes.
  • Payment Status: Active
  • Modifier TC rule: Not applicable to ICD-10 codes.
  • Fee Schedule : Not applicable to ICD-10 codes.
  • Specialties:Emergency Medicine, General Surgery, Trauma Surgery, Family Medicine
  • Place of Service:Emergency Room - Hospital, Office, Urgent Care Facility
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