2025 ICD-10-CM code Y04.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Assault External causes of morbidity (V00-Y99) Feed
Assault by striking or bumping into another person.
Modifiers are not applicable to ICD-10 codes.
Medical necessity is established through proper documentation of the assault and the resulting injuries that require medical intervention.The severity and nature of the injuries must warrant the level of care provided.
The clinical responsibility involves documenting the circumstances of the assault and the resulting injuries, requiring detailed charting of the event and examination findings. This also includes any subsequent treatment provided.
In simple words: This code is used when someone is hurt because another person hit or bumped into them.A doctor will use this code along with a code that explains exactly what injury happened.
This ICD-10-CM code classifies injuries resulting from being struck or bumped into by another person.It's crucial to note that this code describes the circumstance causing the injury, not the nature of the injury itself.Therefore,additional codes from chapters 1-18 or S00-T88 (Injury, poisoning, and certain other consequences of external causes) should be used to specify the injury sustained. This code is used secondarily to a code indicating the nature of the injury.
Example 1: A patient presents to the emergency department after being pushed down a flight of stairs by another person.Code Y04.2 would be used in addition to codes specifying the nature and severity of the patient's injuries (fractures, contusions, etc.)., A patient is struck in the face during a bar fight, resulting in a nasal fracture and a laceration. Y04.2 would be used with codes for nasal fracture and laceration., A pedestrian is unintentionally bumped into by a speeding cyclist, causing a fall and resulting in a sprained ankle.Y04.2 would be used along with a code for the sprained ankle.
Detailed documentation of the assault event, including the nature of the assault (e.g., being struck, pushed, bumped), the assailant's identity (if known), and the resulting injuries.Comprehensive physical examination findings, including imaging results if applicable, should also be included.Documentation must support medical necessity for all services rendered.
** This code is always secondary to a code that specifies the injury sustained.Accurate coding requires careful consideration of both the circumstances of the assault and the nature of the resulting injuries. Always consult the official ICD-10-CM coding guidelines for the most current information.
- Revenue Code: Revenue codes will depend on the services provided and the specific payer.
- RVU: RVUs are not directly associated with ICD-10 codes; they are associated with CPT 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. Fee schedules are associated with CPT and HCPCS codes.
- Specialties:Emergency Medicine, Family Medicine, General Surgery, Orthopedics (depending on the nature of the injury)
- Place of Service:Emergency Room - Hospital, Office, Urgent Care Facility