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2025 ICD-10-CM code Y92.0

Non-institutional (private) residence as the place of occurrence of the external cause.

Y92.0 should only be used at the initial encounter for treatment of injuries that occurred in a private residence.Always use in conjunction with a code that describes the nature of the injury or illness.

The medical necessity is determined by the underlying injury or illness requiring treatment. The use of Y92.0 is supplementary and requires documentation supporting both the diagnosis/procedure and the place of occurrence.

The physician responsible for treating the patient's injuries or conditions that occurred in a private residence.

IMPORTANT:Y92.1- for institutional places of residence; Y92.6- for homes under construction; Y92.89 for abandoned or derelict houses.

In simple words: This code means that the injury or accident happened at someone's home, not in a hospital or other institution.It's used along with a code that describes the injury itself.

This code specifies that the injury or adverse event occurred in a non-institutional private residence.It is used as a supplementary code, in conjunction with a code indicating the nature of the injury or condition from another chapter (most often Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88)).It should only be recorded at the initial encounter for treatment.This code excludes injuries occurring in abandoned or derelict houses (Y92.89), homes under construction (Y92.6-), or institutional places of residence (Y92.1-).

Example 1: A patient is brought to the emergency room after falling down the stairs at home, sustaining a fractured wrist.Y92.0 would be used in addition to the code describing the fracture (e.g., S27.00XA)., A child is treated for a burn injury sustained from a kitchen accident at home. The code Y92.0 would be used along with the appropriate burn injury code., An elderly patient is seen for a laceration received from a fall at home.Y92.0 is used supplementary to a code that specifies the nature and location of the laceration.

Documentation should include details of the incident, the location of the incident as being a private residence, the nature of the injury or illness, and the treatment provided.The medical record must support the use of both the injury/illness code and the place of occurrence code Y92.0.

** This is a supplementary code and should not be used as the sole code for billing or reimbursement.Always cross-reference with the primary diagnosis or procedure code.

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