2025 ICD-10-CM code Y92.11
Children's home and orphanage as the place of occurrence of the external cause. This code is used to provide supplementary information about an injury or other health condition that occurred in a children's home or orphanage.It is not intended to be used for single-condition coding.
The medical necessity for this code is determined by the medical necessity for the primary diagnosis code (e.g., the fracture, allergic reaction, or food poisoning) that it supplements. It provides additional context but does not itself indicate medical necessity.
- 20. External causes of morbidity (V01-Y98)
- Supplementary factors related to causes of morbidity classified elsewhere (Y90-Y99)
In simple words: This code indicates that the injury or illness happened at a children's home or orphanage.It's used along with another code that describes the injury or illness itself.
Children's home and orphanage as the place of occurrence of the external cause. This code identifies a children's home or orphanage as the location where an external cause of injury or other adverse effect occurred. This code should be used in conjunction with a code from another chapter, typically Chapter 19 (Injury, poisoning and certain other consequences of external causes), to specify the nature of the condition.It cannot be used as a standalone code.
Example 1: A child residing in a children's home falls from a swing and fractures their arm. The code Y92.11 would be used as a supplementary code, along with the code for the fracture (e.g., S42.301A- for a displaced fracture of the unspecified part of the right forearm)., A child in an orphanage experiences an allergic reaction after being stung by a bee.Y92.11 would be used as a supplementary code, alongside the code for the allergic reaction (e.g., T78.40XA- for unspecified adverse effect of venom, initial encounter)., A child living in a group home develops food poisoning after eating a contaminated meal.Y92.11 would be used with the appropriate code for food poisoning (e.g., A05.9 for other bacterial foodborne intoxications, not elsewhere classified).
Documentation should clearly indicate the location of the event as a children's home or orphanage and provide details about the circumstances surrounding the injury or illness.
- Place of Service:"Group Home", "Orphanage", "Children's Home"