ICD-10 Y92.530
Billable / SpecificAmbulatory surgery center as the place of occurrence of the external cause
About ICD-10-CM Y92.530
ICD-10-CM code Y92.530 represents Ambulatory surgery center as the place of occurrence of the external cause. This is a billable/specific code in the External Causes of Morbidity chapter (block Y92). The 2026 edition of ICD-10-CM Y92.530 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Y92.530. Per CMS ICD-10-CM Tabular 2026.
- Outpatient surgery center, including that connected with a hospital as the place of occurrence of the external cause
- Same day surgery center, including that connected with a hospital as the place of occurrence of the external cause
Medicare LCD Coverage for Y92.530
Local Coverage Determinations (LCDs) from CMS MACs that list Y92.530 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 Y92.530.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Y92.530 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Y92.530
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.
Convert Y92.530 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Y92.530 | E8496 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Y92.530
Other codes in section Y90-Y99 (Supplementary factors related to causes of morbidity classified elsewhere).
ICD-10 Y92.530, Billing FAQ
Is ICD-10 code Y92.530 billable? +
Yes, Y92.530 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to Y92.530? +
ICD-10 Y92.530 includes: Outpatient surgery center, including that connected with a hospital as the place of occurrence of the external cause; Same day surgery center, including that connected with a hospital as the place of occurrence of the external cause.
What ICD-9 codes does Y92.530 map to? +
Per CMS GEMs, Y92.530 maps to ICD-9 codes: E8496. Useful for legacy data review and historical claim analysis.
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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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