Y92.5
Y92.5 — Trade and service area as the place of occurrence of the external cause
Non-billable headerICD-10-CM
Y92.5 is a non-billable header ICD-10-CM code for trade and service area 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.
Other codes that can never be billed with Y92.5
These codes carry an Excludes1 note pointing at Y92.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Y92.5 alone.
- Y92.23Hospital as the place of occurrence of the external cause
Risk adjustment
Y92.5 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 Y92.5
4 child codes. Green means billable.
- Y92.51Private commercial establishments as the place of occurrence of the external cause
- Y92.52Service areas as the place of occurrence of the external cause
- Y92.53Ambulatory health services establishments as the place of occurrence of the external cause
- Y92.59Other trade areas as the place of occurrence of the external cause
Related codes at this level
Codes that share Y92. If Y92.5 is not quite right, the correct code is usually one of these.
- 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
- Y92.6Industrial 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 Y92.5
- Is Y92.5 a billable ICD-10-CM code?
- No. Y92.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Y92.5 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).
- What cannot be coded together with Y92.5?
- Y92.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.