2025 ICD-10-CM code Y92.111
(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
Identifies the bathroom in a children's home or orphanage as the location where an external cause event occurred.
The medical necessity is established by the diagnosis of injury or illness and the documented event leading to the diagnosis. The location code Y92.111 supplements the primary code; hence, proper documentation of the injury/illness is paramount to demonstrating medical necessity.
The clinical responsibility for coding Y92.111 rests with the healthcare provider documenting the patient encounter.Accurate documentation of the injury or illness and location are essential for appropriate coding. The coder needs to select the proper injury/illness code in addition to this supplementary code.
- Chapter 20: External causes of morbidity and mortality
- Y92.111 falls under the broader category Y92 (Place of occurrence of the external cause) and more specifically under the subcategory Y92.1 (Institutional (non-private) residence).
In simple words: This code tells doctors and insurance companies that an accident or injury happened in the bathroom of a children's home or orphanage.It's added to another code that explains what exactly happened.
This ICD-10-CM code, Y92.111, specifies the place of occurrence of an external cause as the bathroom within a children's home or orphanage.It's a supplementary code used in conjunction with a primary code indicating the nature of the injury or condition resulting from the event.This code does not stand alone; it provides additional context about the location where the event happened.
Example 1: A child falls and fractures their arm in the bathroom of a children's home.The primary code would describe the fracture, and Y92.111 would be added to indicate the location., A caregiver slips and falls in the bathroom of an orphanage, sustaining a concussion. The primary code will describe the concussion; Y92.111 adds context to where the incident occurred., A child suffers a laceration to their head after hitting their head on a fixture in the orphanage bathroom. The primary code would be for the laceration, and Y92.111 would be included to show the location of the accident.
Detailed documentation is necessary, including the type of injury or illness, the mechanism of injury, and explicit confirmation that the event occurred in the bathroom of a children’s home or orphanage.The physician's note should clearly describe the injury and location.
** This code is crucial for public health surveillance and epidemiological studies to identify patterns of accidents or injuries in specific settings. The code should be utilized carefully and only when appropriate documentation supporting the place of occurrence exists.
- Payment Status: Active
- Specialties:Emergency Medicine, Pediatrics, Occupational Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Other Place of Service