2025 ICD-10-CM code Y92.61
(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
Indicates that a building under construction was the location where an external cause of injury or other adverse event occurred.
Medical necessity is established by the documented injury or condition requiring medical attention, and the supplementary code Y92.61 provides additional information regarding the circumstances of the event.There is no separate medical necessity review for this supplementary code itself.
The clinical responsibility is to accurately code the primary diagnosis of the injury or condition and to appropriately use Y92.61 as a secondary code to provide additional context related to the location of the event.
- Chapter 20: External causes of morbidity and mortality
- Y92: Place of occurrence of the external cause
In simple words: This code means that the accident or injury happened in a building that was still being built.It is added to the main code that explains what happened.
This ICD-10-CM code, Y92.61, specifies the place of occurrence of an external cause as a building under construction.It is used as a supplementary code to provide additional context regarding the circumstances surrounding an injury or other adverse health event.This code is always used in addition to a primary code that describes the nature of the injury or condition itself (typically from Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88) or other chapters as appropriate).
Example 1: A construction worker falls from scaffolding at a building under construction, sustaining a fractured femur.The primary code would describe the fracture (e.g., S72.00XA), and Y92.61 would be added to indicate the location of the accident., A passerby is injured by falling debris from a building under construction. The primary code would describe the specific injury (e.g., a laceration, S01.8XXA), and Y92.61 would be included to indicate the place of occurrence., A fire occurs in a building under construction, resulting in smoke inhalation injuries for firefighters. The primary code would describe the smoke inhalation (e.g., T50.0XXA), and Y92.61 would be added as the location of the event.
Detailed documentation should include the type of injury or condition, the specific location within the building under construction, the circumstances surrounding the event, and any other relevant details.
** Y92.61 is a supplementary code; it provides contextual information about the location of the event but does not independently define the diagnosis or procedure.
- Payment Status: Active
- Specialties:Emergency Medicine, Occupational Medicine, Orthopedics, and other specialties relevant to the type of injury or condition.
- Place of Service:The place of service would depend on where the patient receives care after the incident (e.g., emergency room, hospital, doctor's office).This code only identifies the location where the incident happened.