Y92.12

Y92.12: Nursing home as the place of occurrence of the external cause

Non-billable headerICD-10-CM

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

Their own Excludes1 notes name this code, so the conflict is not listed above.

Y92.23Hospital 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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Y92.12

9 child codes. Green means billable.