Y92.23 vs Y92.53
Y92.23 (Hospital as the place of occurrence of the external cause) compared with Y92.53 (Ambulatory health services establishments as the place of occurrence of the external cause), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Y92.23 carries an Excludes1 note covering Y92.53: “ambulatory (outpatient) health services establishments (Y92.53-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. Y92.53 carries an Excludes1 note covering Y92.23: “schools and other public administration buildings (Y92.2-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| Y92.23Hospital as the place of occurrence of the external cause | Y92.53Ambulatory health services establishments as the place of occurrence of the external cause | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Hospital as the place of occurrence of the external cause is a non-billable ICD-10-CM category code (Y92.23). | Ambulatory health services establishments as the place of occurrence of the external cause is a non-billable ICD-10-CM category code (Y92.53). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources