Y92.12 — Nursing home as the place of occurrence of the external cause
Y92.12 is a non-billable header ICD-10-CM code for nursing home as the 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.
- Home for the sick as the place of occurrence of the external cause
- Hospice as the place of occurrence of the external cause
Other codes that can never be billed with Y92.12
These codes carry an Excludes1 note pointing at Y92.12. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Y92.12 alone.
Risk adjustment
Y92.12 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 Y92.12
9 child codes. Green means billable.
- Y92.120Kitchen in nursing home as the place of occurrence of the external cause
- Y92.121Bathroom in nursing home as the place of occurrence of the external cause
- Y92.122Bedroom in nursing home as the place of occurrence of the external cause
- Y92.123Driveway of nursing home as the place of occurrence of the external cause
- Y92.124Garage of nursing home as the place of occurrence of the external cause
- Y92.125Swimming-pool of nursing home as the place of occurrence of the external cause
- Y92.126Garden or yard of nursing home as the place of occurrence of the external cause
- Y92.128Other place in nursing home as the place of occurrence of the external cause
- Y92.129Unspecified place in nursing home as the place of occurrence of the external cause
Related codes at this level
Codes that share Y92.1. If Y92.12 is not quite right, the correct code is usually one of these.
- Y92.10Unspecified residential institution as the place of occurrence of the external cause
- Y92.11Children's home and orphanage as the place of occurrence of the external cause
- Y92.13Military base as the place of occurrence of the external cause
- Y92.14Prison as the place of occurrence of the external cause
- Y92.15Reform school as the place of occurrence of the external cause
- Y92.16School dormitory as the place of occurrence of the external cause
- Y92.19Other specified residential institution as the place of occurrence of the external cause
Questions about Y92.12
- Is Y92.12 a billable ICD-10-CM code?
- No. Y92.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Y92.12 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).