2027 ICD-10-CM Diagnosis Code X38Flood

ICD-10-CM Codes›V01–Y99›X30-X39›X38

ICD-10-CM X38
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

X38 is a non-billable ICD-10-CM category code for flood, so it cannot be submitted on claims. Use a more specific code from this category instead, such as X38.XXXA, X38.XXXD, and X38.XXXS.

Code Identity

ICD-10-CM Code
X38
Billable Status
No — Non-Billable Category
Code Describes
Flood
Short Description
Flood
Same as the full description in the CMS dataset.
Chapter
X30-X39
Exposure to forces of nature

Code Classification

ChapterV01–Y99External causes of morbidity and mortality
SectionX30-X39Exposure to forces of nature
CategoryX38Flood
This CodeX38Flood

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to X38: its own notes plus those printed at Chapter 20. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Flood arising from remote storm
  • Flood of cataclysmic nature arising from melting snow
  • Flood resulting directly from storm

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • collapse of dam or man-made structure causing earth movement (X36.0)
  • tidal wave NOS (X37.41)
  • tidal wave caused by storm (X37.42)

Notes

General instructions on how these codes are used.

From Chapter 20 (V00-Y99) External causes of morbidity and mortality applies to 7,461 codes
  • This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

  • The appropriate 7th character is to be added to code X38
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name X38, its category, or a range that includes it.

Excludes2 3

These codes carry an Excludes2 note naming X38: its condition is not part of those codes, and both may be reported when the patient has both.

  • X37.8 Other cataclysmic storms
    flood (X38)
  • Block V00-V99 Transport accidents
    transport accidents due to cataclysm (X34-X38) names X34-X38, which includes this code
  • Block W65-W74 Accidental non-transport drowning and submersion
    accidental drowning and submersion due to cataclysm (X34-X39) names X34-X39, which includes this code

Code First 1

These codes say to code first a condition named in the note, and X38 is one of the conditions named.

  • W20 Struck by thrown, projected or falling object
    cataclysm (X34-X39) names X34-X39, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and X38 is one of the codes named.

  • T71.21 Asphyxiation due to cave-in or falling earth
    code for any associated cataclysm (X34-X38) names X34-X38, which includes this code

External Cause of Injuries IndexGuidance

Patient EducationClinical

Floods

Floods are common in the United States. Weather such as heavy rain, thunderstorms, hurricanes, or tsunamis can cause flooding. Flooding can also happen when a river or stream overflows its bank, when a levee is breached, or when a dam breaks. Flash floods, which can develop quickly, often have a dangerous wall of roaring water.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About X38Overview

What is the ICD-10 code for flood?

X38 is the ICD-10-CM category for flood, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is X38 (Flood) a billable code?

No. This is a category header that groups the codes for flood, and headers cannot be submitted on claims. Claims for flood need a more specific code from this category, such as X38.XXXA, X38.XXXD, and X38.XXXS.

Can X38 be reported with X36.0?

Not as a rule. The Excludes1 note on X38 lists "collapse of dam or man-made structure causing earth movement (X36.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).