2025 ICD-10-CM code Y92.14
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Supplementary factors related to causes of morbidity classified elsewhere Chapter 20: External causes of morbidity and mortality Feed
Prison as the place of occurrence of an external cause.
Modifiers are not applicable to this code.
The medical necessity is determined by the diagnosis and treatment related to the injury or illness, not by the place of occurrence.The code Y92.14 adds context to the clinical situation and should be supported by the same medical necessity as the primary diagnoses and procedures.
This code does not directly indicate clinical responsibility, but it is used by medical coders to document the location of an incident within a broader clinical picture.The physician or healthcare provider responsible for treating the injury or illness associated with this code would be responsible for its accurate documentation.
- Chapter 20: External causes of morbidity and mortality
- Y92.14 is part of the Y92 category (Place of occurrence of the external cause) and the broader Y90-Y99 block (Supplementary factors related to causes of morbidity classified elsewhere).
In simple words: This code means that the injury or illness happened in a prison.It's used along with a code that describes the actual injury or illness.
This ICD-10-CM code signifies that the external cause of injury or other morbidity occurred within a prison setting.It is supplemental and should always be used in conjunction with a code from another chapter specifying the nature of the injury or condition.The place of occurrence should be recorded only at the initial encounter for treatment.
Example 1: A prisoner sustains a laceration to the hand during a fight in the prison yard.The coder would use Y92.14 (along with codes specifying the laceration, such as the appropriate code from Chapter 19, and codes specifying the circumstances of the injury)., A prisoner experiences a heart attack in his prison cell. The coder would use Y92.14 (along with a code from Chapter I indicating the heart attack, and possibly further codes to clarify the circumstance)., An inmate falls and fractures their leg while playing basketball in the prison gymnasium.Appropriate codes from Chapter 19 (for the fracture) and possibly further codes to clarify the circumstance are required in addition to Y92.14.
Detailed documentation should specify the nature and location of the injury or illness, the date and time of the event, and the circumstances surrounding the incident. The documentation should explicitly link the incident to the prison environment.Any witness statements or security camera footage should be noted.
** This code provides valuable supplementary information for epidemiological studies and data analysis related to the circumstances of injuries and illnesses within correctional facilities.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Correctional medicine, Emergency medicine, General practice
- Place of Service:Prison/Correctional Facility