MCMCB Pro
Y95

Y95Nosocomial condition

Billable / specific codeICD-10-CM

Y95 is a billable, specific ICD-10-CM code for nosocomial condition. It is valid for submission on a claim.

Risk adjustment

Y95 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.

How Y95 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Y95.

  • Nosocomial condition
  • Factors, supplementalnosocomial condition

Questions about Y95

Is Y95 a billable ICD-10-CM code?
Yes. Y95 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Y95 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.