ICD-10 Y92
Non-Billable HeaderPlace of occurrence of the external cause
About ICD-10-CM Y92
ICD-10-CM code Y92 represents Place of occurrence of the external cause. This is a non-billable header code in the External Causes of Morbidity chapter (block Y92). The 2026 edition of ICD-10-CM Y92 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Y92. Per CMS ICD-10-CM Tabular 2026.
- The following category is for use, when relevant, to identify the place of occurrence of the external cause. Use in conjunction with an activity code.
- Place of occurrence should be recorded only at the initial encounter for treatment
Medicare LCD Coverage for Y92
Local Coverage Determinations (LCDs) from CMS MACs that list Y92 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Y92.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Y92 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Y92
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Y92
Other codes in section Y90-Y99 (Supplementary factors related to causes of morbidity classified elsewhere).
ICD-10 Y92, Billing FAQ
Is ICD-10 code Y92 billable? +
No, Y92 is a non-billable header code. Use a more specific child code from block Y92 when submitting claims.
What other names or terms map to Y92? +
ICD-10 Y92 includes: The following category is for use, when relevant, to identify the place of occurrence of the external cause. Use in conjunction with an activity code.; Place of occurrence should be recorded only at the initial encounter for treatment.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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