Y92.53 — Ambulatory health services establishments as the place of occurrence of the external cause
Y92.53 is a non-billable header ICD-10-CM code for ambulatory health services establishments 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.
Excludes1 inherited from the categories above Y92.53
These are not written on Y92.53, but they bind it: a note on a category applies to every code beneath it. Billing Y92.53 with anything listed here is a denial.
Other codes that can never be billed with Y92.53
These codes carry an Excludes1 note pointing at Y92.53. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Y92.53 alone.
- Y92.23Hospital as the place of occurrence of the external cause
Risk adjustment
Y92.53 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 history
Y92.53 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead Y92.53
4 child codes. Green means billable.
- Y92.530Ambulatory surgery center as the place of occurrence of the external cause
- Y92.531Health care provider office as the place of occurrence of the external cause
- Y92.532Urgent care center as the place of occurrence of the external cause
- Y92.538Other ambulatory health services establishments as the place of occurrence of the external cause
Related codes at this level
Codes that share Y92.5. If Y92.53 is not quite right, the correct code is usually one of these.
Questions about Y92.53
- Is Y92.53 a billable ICD-10-CM code?
- No. Y92.53 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Y92.53 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 Y92.53?
- Y92.53 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Y92.53 (Y92.5) and apply to it just the same.