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Y92.219 ICD-10-CM Code: Unspecified school as the place of occurrence of the external cause

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

Coding at a Glance

Tabular directives
4 Excludes1

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Y92.219 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on Y92.219 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from Y92.2

Coder workflow for Y92.219

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

Before you code Y92.219

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, Y92.219 may be the appropriate code. Check the record for detail that supports a more specific sibling. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    ReviewY92.210, Y92.211, Y92.212, Y92.213, Y92.214, Y92.215, Y92.218

    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).

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with Y92.219. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — Y92.219 is appropriate when the documentation goes no further.

    ReviewY92.210, Y92.211, Y92.212, Y92.213, Y92.214, Y92.215, Y92.218

  2. Does the documentation support a condition named in Y92.219’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewY92.6, Y92.1, Y92.16, Y92.3

Consider Y92.219. Then confirm the code is valid for the date of service in the Verify section.

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.

Official instructions as workflow

  • Excludes1 — check before selecting Y92.219(4 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Y92.219: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareY92.6, Y92.1, Y92.16, Y92.3

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the specific siblings in this subcategory and what each requires the record to state.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

ReviewY92.210, Y92.211, Y92.212, Y92.213, Y92.214, Y92.215, Y92.218

Documentation: Both the condition Y92.219 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewY92.6, Y92.1, Y92.16, Y92.3

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.

Code Overview

Unspecified school as the place of occurrence of the external cause is a billable ICD-10-CM diagnosis code (Y92.219).

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

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, school (private) (public) (state)

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official 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 structured relationships — computed from published CMS and AHRQ datasets

Other codes that name Y92.219 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 2 Excludes1 notes: Y92.16 — School dormitory as the place of occurrence of the external cause (via Y92.2.-), Y92.5 — Trade and service area as the place of occurrence of the external cause (via Y92.2.-).

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.

Referenced by 12 Code Also instructions: T66 — Radiation sickness, unspecified (via Y92.21.-), T66-T78 — Other and unspecified effects of external causes (T66-T78) (via Y92.21.-), T67 — Effects of heat and light (via Y92.21.-), T68 — Hypothermia (via Y92.21.-), T69 — Other effects of reduced temperature (via Y92.21.-), T70 — Effects of air pressure and water pressure (via Y92.21.-), T71 — Asphyxiation (via Y92.21.-), T73 — Effects of other deprivation (via Y92.21.-), T74 — Adult and child abuse, neglect and other maltreatment, confirmed (via Y92.21.-), T75 — Other and unspecified effects of other external causes (via Y92.21.-), T76 — Adult and child abuse, neglect and other maltreatment, suspected (via Y92.21.-), T78 — Adverse effects, not elsewhere classified (via Y92.21.-).

These codes suggest coding this condition alongside when both are present.

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).

Y92.197 — 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, Y92.22 — Religious institution as the place of occurrence of the external cause, Y92.230 — Patient room in hospital as the place of occurrence of the external cause, Y92.231 — Patient bathroom in hospital as the place of occurrence of the external cause, Y92.232 — Corridor of hospital as the place of occurrence of the external cause, Y92.233 — Cafeteria of hospital as the place of occurrence of the external cause, Y92.234 — Operating room of hospital as the place of occurrence of the external cause, Y92.238 — Other place in hospital as the place of occurrence of the external cause, Y92.239 — Unspecified place in hospital as the place of occurrence of the external cause, Y92.240 — Courthouse as the place of occurrence of the external cause, Y92.241 — Library as the place of occurrence of the external cause, +188 more

Contextual Map

Every relationship of Y92.219 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 Y92.219 with these 12 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-fy2026
  • Y38 — Terrorism[Use Additional Code](via Y92.-): “code for place of occurrence (Y92.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Code Also instructions (12)

  • T66 — Radiation sickness, unspecified[Code Also](via Y92.21.-): “school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • T66-T78 — Other and unspecified effects of external causes (T66-T78)[Code Also](via Y92.21.-): “school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • T67 — Effects of heat and light[Code Also](via Y92.21.-): “school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • T68 — Hypothermia[Code Also](via Y92.21.-): “school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • T69 — Other effects of reduced temperature[Code Also](via Y92.21.-): “school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • T70 — Effects of air pressure and water pressure[Code Also](via Y92.21.-): “school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • T71 — Asphyxiation[Code Also](via Y92.21.-): “school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • T73 — Effects of other deprivation[Code Also](via Y92.21.-): “school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • and 4 more

Clinical classification (CCSR)

External cause index

  • Place of occurrence, school (private) (public) (state)[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026

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

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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 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 structured 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 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.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Unspecified school 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 (effective October 1, 2026), 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 Y92.219 in its code family, with their registry titles.

View all codes in the Y92 family