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2025 ICD-10-CM code Y38.2

This code classifies injuries resulting from terrorist acts involving explosions and fragments, excluding nuclear weapons and suicide bombings.

This code is always secondary to a code from another chapter indicating the nature of the injury or condition.Proper use requires careful consideration of the circumstances of the event and the resulting injuries to accurately select the appropriate primary and secondary codes.

Medical necessity for treatment is established by the presence of injuries resulting directly from the terrorist attack.Documentation must support a clear causal link between the event and the medical services rendered.

The clinical responsibility involves the diagnosis, treatment, and documentation of injuries resulting from terrorist attacks involving explosions and fragments.This may include managing trauma, providing emergency care, and performing surgical interventions if required.

IMPORTANT:Excludes1: terrorism involving explosion of nuclear weapon (Y38.5); terrorism involving suicide bomber (Y38.81).Use additional code for place of occurrence (Y92.-).

In simple words: This code is used when someone is hurt in a terrorist attack that involved an explosion, and the injury was caused by the pieces that flew off from the explosion.It does not include attacks involving nuclear weapons or suicide bombers.

Y38.2, Terrorism involving other explosions and fragments, is an ICD-10-CM code used to classify injuries or conditions resulting from terrorist attacks involving explosions and resulting fragments.This code encompasses various scenarios involving explosive devices, such as bombs, grenades, or munitions, excluding those specifically involving nuclear weapons (Y38.5) or suicide bombers (Y38.81).It is secondary to a code from another chapter specifying the nature of the injury sustained (e.g., Chapter 19 for injuries).

Example 1: A victim sustains multiple shrapnel wounds from a bomb blast during a terrorist attack.The injuries include penetrating wounds to the abdomen, requiring surgery. Y38.2 would be coded alongside codes describing the specific injuries (e.g., from Chapter 19)., A person is injured by fragments from a grenade explosion during a terrorist attack. The injuries are limited to soft tissue damage requiring wound care. Y38.2 would be used in conjunction with codes specifying the nature of the soft tissue injuries., An individual is treated for blast injuries caused by a terrorist attack using an improvised explosive device.They experience hearing loss, burns, and lung contusions. Y38.2 would be used, and this code would be supplemented with ICD-10 codes for hearing loss, burns, and lung contusions.

Thorough documentation is crucial. This should include details of the event (location, type of explosive device, etc.), the mechanism of injury (e.g., blast, shrapnel), and a detailed description of the patient's injuries, treatment provided, and any resulting sequelae.

** This code should only be used when the injury or condition is directly attributable to a terrorist act involving an explosion and resulting fragments.Accurate coding requires careful review of all available documentation and adherence to official ICD-10-CM guidelines.

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