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Y92.4 ICD-10-CM Code: Street, highway and other paved roadways as the place of occurrence of the external cause

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Coding at a Glance

Tabular directives
1 Excludes1

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Y92.4 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on Y92.4 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).

Coder workflow for Y92.4

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

Before you code Y92.4

  1. Y92.4 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewY92.41, Y92.48

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  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 Y92.4. 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 documentation support one of the more specific codes beneath Y92.4?
    Yes → Select that code and continue the checks below on its own page.
    No → Y92.4 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewY92.41, Y92.48

  2. Does the documentation support a condition named in Y92.4’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.

    ReviewY92.014, Y92.024, Y92.043, Y92.093, Y92.113, Y92.123

Consider Y92.4. 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).

Official instructions as workflow

  • Excludes1 — check before selecting Y92.4(1 note)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Y92.4: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareY92.014, Y92.024, Y92.043, Y92.093, Y92.113, Y92.123

    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: Both the condition Y92.4 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).

ReviewY92.014, Y92.024, Y92.043, Y92.093, Y92.113, Y92.123

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

Street, highway and other paved roadways as the place of occurrence of the external cause is a non-billable ICD-10-CM category code (Y92.4). A more specific billable subcode must be selected for claims submission.

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

Verify Before Coding

  • Not billable as written — a more specific code is required: Y92.410, Y92.411, Y92.412, Y92.413, Y92.414.
  • 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 Y92.4 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 3 Use Additional Code instructions: V00 — Pedestrian conveyance accident (via Y92.-), V00-V99 — Transport accidents (V00-V99), Y38 — Terrorism (via Y92.-).

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

Contextual Map

Every relationship of Y92.4 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 Y92.4 with these 11 related codes in Claim Check

Hierarchy

Excludes1

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
  • V00-V99 — Transport accidents (V00-V99)[Use Additional Code]: “Type of street or road (Y92.4-)”— 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

Nearest codes (40)

Change history (3)

Common coding questions

Can Y92.4 be billed directly?

No. Y92.4 (Street, highway and other paved roadways as the place of occurrence of the external cause) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

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
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

  • FY2017 — October 1, 2016
    Description revised
    Street , highway and other paved roadways as the place of occurrence of the external cause → Street, highway and other paved roadways as the place of occurrence of the external cause
    FY2017 changes
  • FY2017 — October 1, 2016
    Short description revised
    Street, highway and oth paved roadways as place → Street, highway and other paved roadways as place
    FY2017 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Street , highway and other paved roadways as the place of occurrence of the external cause

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Y92.4 in its code family, with their registry titles.

View all codes in the Y92 family