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2025 ICD-10-CM code Y92.16

School dormitory as the place where an external cause occurred.

This code should always be used as a secondary code with a code from another chapter that describes the injury or illness. It should only be used at the initial encounter for treatment.

The medical necessity is established by the diagnosis and treatment of the injury or illness. The location of the incident (Y92.16) provides supplemental information to the primary diagnosis code.

The clinical responsibility is to document the injury or illness sustained and the location of the incident.This code is used by coders to accurately reflect the circumstances of the injury or illness.

IMPORTANT:This code should be used with a code from another chapter describing the injury or illness (e.g., Chapter 19 for injuries).Related codes include Y92.15 (Reform school), Y92.2 (School buildings and grounds), and Y92.3 (School sports and athletic areas).

In simple words: This code is used when someone is hurt or gets sick because of something that happened in a school dormitory. It tells where the incident occurred, not what type of injury or illness resulted.

This ICD-10-CM code, Y92.16, specifies the school dormitory as the location where an external cause resulting in injury or other adverse health effects took place.It is supplemental and should be used in conjunction with a code from another chapter detailing the nature of the injury or condition.This code is only to be used at the initial encounter for treatment.

Example 1: A student trips and falls in their school dormitory, fracturing their arm.The coder would use a code from Chapter 19 to describe the fracture and Y92.16 to indicate the location of the incident., A fire breaks out in a school dormitory, causing smoke inhalation injuries to several students.The coder uses codes for smoke inhalation and Y92.16., A student is assaulted in their school dormitory room. Codes for assault and Y92.16 would be used.

Documentation should include a description of the injury or illness, the date and time of the incident, the location within the dormitory (if applicable), and any witness statements.

** This code is not used for single-condition coding.It is essential to ensure appropriate use with other codes to accurately represent the clinical encounter.

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