Y92
Y92 — Place of occurrence of the external cause
Non-billable headerICD-10-CM
Y92 is a non-billable header ICD-10-CM code for place of occurrence of the external cause. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- The following category is for use, when relevant, to identify the place of occurrence of the external cause. Use in conjunction with an activity code.
- Place of occurrence should be recorded only at the initial encounter for treatment
Other codes that can never be billed with Y92
These codes carry an Excludes1 note pointing at Y92. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Y92 alone.
- Y92.13Military base as the place of occurrence of the external cause
- Y92.31Athletic court as the place of occurrence of the external cause
- Y92.34Swimming pool (public) as the place of occurrence of the external cause
- Y92.7Farm as the place of occurrence of the external cause
- Y92.0Non-institutional (private) residence as the place of occurrence of the external cause
- Y92.01Single-family non-institutional (private) house as the place of occurrence of the external cause
- Y92.16School dormitory as the place of occurrence of the external cause
- Y92.2School, other institution and public administrative area as the place of occurrence of the external cause
Risk adjustment
Y92 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead Y92
10 child codes. Green means billable.
- Y92.0Non-institutional (private) residence as the place of occurrence of the external cause
- Y92.1Institutional (nonprivate) residence as the place of occurrence of the external cause
- Y92.2School, other institution and public administrative area as the place of occurrence of the external cause
- Y92.3Sports and athletics area as the place of occurrence of the external cause
- Y92.4Street, highway and other paved roadways as the place of occurrence of the external cause
- Y92.5Trade and service area as the place of occurrence of the external cause
- Y92.6Industrial and construction area as the place of occurrence of the external cause
- Y92.7Farm as the place of occurrence of the external cause
- Y92.8Other places as the place of occurrence of the external cause
- Y92.9Unspecified place or not applicable
Questions about Y92
- Is Y92 a billable ICD-10-CM code?
- No. Y92 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Y92 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Supplementary factors related to causes of morbidity classified elsewhere (Y90-Y99).