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Y92.196 ICD-10-CM Code: Pool of other specified residential institution as the place of occurrence of the external cause

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Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

The tabular list publishes no instructional note for this code itself.

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Coder workflow for Y92.196

MedCoder structured workflow — derived from this code’s own official record

Before you code Y92.196

  1. “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on Y92.196; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. An external cause code is reported in addition to the code for the injury or condition, never as the principal or first-listed diagnosis. Confirm the cause, intent, place of occurrence, activity and status where the record documents them, and assign the 7th character that matches the injury code. External cause coding guidelines (Guidelines I.C.20.a).

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse Y92.196 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of Y92.196 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • Y92.199— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Unspecified place in other specified residential institution as the place of occurrence of the external cause” takes Y92.199; specificity in the record moves it back here.

    Full comparison: Y92.196 vs Y92.199 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Pool of other specified residential institution as the place of occurrence of the external cause is a billable ICD-10-CM diagnosis code (Y92.196).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 20: External Causes of Morbidity (V00-Y99)

b. Place of Occurrence Guideline Codes from category Y92, Place of occurrence of the external cause, are secondary codes for use after other external cause codes to identify the location of the patient at the time of injury or other condition.

Chapter 20: External Causes of Morbidity (V00-Y99)

Generally, a place of occurrence code is assigned only once, at the initial encounter for treatment. However, in the rare instance that a new injury occurs during hospitalization, an additional place of occurrence code may be assigned. No 7 th characters are used for Y92.

Chapter 20: External Causes of Morbidity (V00-Y99)

1) Cause of injury identified by the Federal Government (FBI) as terrorism When the cause of an injury is identified by the Federal Government (FBI) as terrorism, the first-listed external cause code should be a code from category Y38, Terrorism. The definition of terrorism employed by the FBI is found at the inclusion note at the beginning of category Y38. Use additional code for place of occurrence (Y92.-). More than one Y38 code may be assigned if the injury is the result of more than one mechanism of terrorism.

Verify Before Coding

  • Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name Y92.196 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: Y92.0 — Non-institutional (private) residence as the place of occurrence of the external cause (via Y92.1.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 2 Use Additional Code instructions: V00 — Pedestrian conveyance accident (via Y92.-), Y38 — Terrorism (via Y92.-).

These codes instruct coders to additionally report this code when it applies.

Clinical classification (AHRQ CCSR):EXT027 — External cause codes: place of occurrence of the external cause.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (External cause codes: place of occurrence of the external cause).

Y92.162 — Bathroom in school dormitory as the place of occurrence of the external cause, Y92.163 — Bedroom in school dormitory as the place of occurrence of the external cause, Y92.168 — Other place in school dormitory as the place of occurrence of the external cause, Y92.169 — Unspecified place in school dormitory as the place of occurrence of the external cause, Y92.190 — Kitchen in other specified residential institution as the place of occurrence of the external cause, Y92.191 — Dining room in other specified residential institution as the place of occurrence of the external cause, Y92.192 — Bathroom in other specified residential institution as the place of occurrence of the external cause, Y92.193 — Bedroom in other specified residential institution as the place of occurrence of the external cause, Y92.194 — Driveway of other specified residential institution as the place of occurrence of the external cause, Y92.195 — Garage of other specified residential institution as the place of occurrence of the external cause, Y92.197 — Garden or yard of other specified residential institution as the place of occurrence of the external cause, Y92.198 — Other place in other specified residential institution as the place of occurrence of the external cause, Y92.199 — Unspecified place in other specified residential institution as the place of occurrence of the external cause, Y92.210 — Daycare center as the place of occurrence of the external cause, Y92.211 — Elementary school as the place of occurrence of the external cause, Y92.212 — Middle school as the place of occurrence of the external cause, Y92.213 — High school as the place of occurrence of the external cause, Y92.214 — College as the place of occurrence of the external cause, Y92.215 — Trade school as the place of occurrence of the external cause, Y92.218 — Other school as the place of occurrence of the external cause, +188 more

Contextual Map

Every relationship of Y92.196 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run Y92.196 with these 3 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Use Additional Code instructions

  • V00 — Pedestrian conveyance accident[Use Additional Code](via Y92.-): “place of occurrence and activity external cause codes, if known (Y92.-, Y93.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • Y38 — Terrorism[Use Additional Code](via Y92.-): “code for place of occurrence (Y92.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Clinical classification (CCSR)

External cause index

  • Place of occurrence, residence (non-institutional) (private), institutional, specified NEC, swimming pool[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2027

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed As (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Circumstance phrases from the official ICD-10-CM External Cause of Injuries Index that map to this code.

  • Place of occurrence, residence (non-institutional) (private), institutional, specified NEC, swimming pool

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "Y92.196 — Pool of other specified residential institution as the place of occurrence of the external cause." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/y92.196-pool-of-other-specified-residential-institution-as-the-place-of-occurrence-of-the-external-cause

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Pool of other specified residential institution as the place of occurrence of the external cause

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Y92.196 in its code family, with their registry titles.

View all codes in the Y92 family