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2025 ICD-10-CM code Y92.12

Nursing home as the place of occurrence of an external cause.

This code should be used as a secondary code to identify the place of occurrence and requires a primary code describing the nature of the injury or illness. The use of this code is supplementary only.

The medical necessity is established by the diagnosis of the condition requiring treatment. The location code (Y92.12) is supplemental to the primary diagnosis and procedural codes. Proper documentation of the event is crucial to justify the reported codes.

The clinical responsibility is to accurately document the injury or illness that occurred and the location within the nursing home (if possible) to ensure accurate coding.

IMPORTANT:May be used with other codes describing the injury or illness.Y92.10 (Unspecified residential institution) may be considered if no more specific location within a residential setting is known.This code is supplementary and requires another code indicating the nature of the injury or illness.

In simple words: This code means that the injury or illness happened in a nursing home.Doctors use it along with a code that describes what exactly happened (like a fall or a burn).

This code indicates that a nursing home was the location where an external cause of morbidity occurred.It is used as a supplementary code and should be reported in addition to a code that specifies the nature of the injury or illness. This code is not used for single-condition coding.

Example 1: A patient falls in a nursing home and sustains a hip fracture.The codes for the fracture and the location (Y92.12) should both be reported., A patient in a nursing home experiences a medication error resulting in an adverse reaction. The codes for the adverse reaction and the location (Y92.12) are to be reported., A patient in a nursing home is involved in an assault, resulting in injuries. The injury codes and the location code (Y92.12) should be used.

Detailed documentation of the injury or illness, including type of injury/illness, mechanism of injury, date and time of occurrence, and the specific location within the nursing home (if applicable) is required.

** This code is part of the Supplementary Factors section of the External Causes of Morbidity chapter in ICD-10-CM.It's crucial to always use it in conjunction with a code that describes the actual injury or illness.

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