Y69 vs Y72
Y69 (Unspecified misadventure during surgical and medical care) compared with Y72 (Otorhinolaryngological devices associated with adverse incidents), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. Y72 carries an Excludes2 note covering Y69: “misadventure to patients during surgical and medical care, classifiable to (Y62-Y69)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Y69Unspecified misadventure during surgical and medical care | Y72Otorhinolaryngological devices associated with adverse incidents | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Unspecified misadventure during surgical and medical care is a billable ICD-10-CM diagnosis code (Y69). | Otorhinolaryngological devices associated with adverse incidents is a non-billable ICD-10-CM category code (Y72). |
| Includes | — | breakdown or malfunction of medical devices (during use) (after implantation) (ongoing use) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources