Y92.81 ICD-10-CM Code: Transport vehicle 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 Y92.81 in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on Y92.81 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).
- transport accidents (V00-V99) Compare Y92.81 vs V00 →
Coder workflow for Y92.81
MedCoder structured workflow — derived from this code’s own official record
Before you code Y92.81
- Y92.81 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).
ReviewY92.810, Y92.811, Y92.812, Y92.813, Y92.814, Y92.815, Y92.816, Y92.818
See the relationships section · Guide: How to choose an ICD-10-CM code →
- 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).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with Y92.81. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath Y92.81?
Yes → Select that code and continue the checks below on its own page.
No → Y92.81 cannot be reported as written; query for the specificity its subcategory needs.ReviewY92.810, Y92.811, Y92.812, Y92.813, Y92.814, Y92.815, Y92.816, Y92.818
- Does the documentation support a condition named in Y92.81’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.
Consider Y92.81. 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 Y92.81(1 note)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Y92.81: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
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 Y92.81 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).
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
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: Y92.810, Y92.811, Y92.812, Y92.813, Y92.814.
- 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 Y92.81 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 across 2 chapters: T75.3 — Motion sickness, 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, T66-T78 — Other and unspecified effects of external causes (T66-T78), T67 — Effects of heat and light, T68 — Hypothermia, T69 — Other effects of reduced temperature, T70 — Effects of air pressure and water pressure, T71 — Asphyxiation, T73 — Effects of other deprivation, T74 — Adult and child abuse, neglect and other maltreatment, confirmed, T75 — Other and unspecified effects of other external causes, T76 — Adult and child abuse, neglect and other maltreatment, suspected, T78 — Adverse effects, not elsewhere classified.
These codes suggest coding this condition alongside when both are present.
Contextual Map
Every relationship of Y92.81 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 Y92.81 with these 11 related codes in Claim Check
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y90-Y99 — Supplementary factors related to causes of morbidity classified elsewhere[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Use Additional Code instructions
- T75.3 — Motion sickness[Use Additional Code]: “external cause code to identify vehicle or type of motion (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- 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]: “transport vehicle as the place of occurrence of the external cause (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T66-T78 — Other and unspecified effects of external causes (T66-T78)[Code Also]: “transport vehicle as the place of occurrence of the external cause (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T67 — Effects of heat and light[Code Also]: “transport vehicle as the place of occurrence of the external cause (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T68 — Hypothermia[Code Also]: “transport vehicle as the place of occurrence of the external cause (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T69 — Other effects of reduced temperature[Code Also]: “transport vehicle as the place of occurrence of the external cause (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T70 — Effects of air pressure and water pressure[Code Also]: “transport vehicle as the place of occurrence of the external cause (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T71 — Asphyxiation[Code Also]: “transport vehicle as the place of occurrence of the external cause (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T73 — Effects of other deprivation[Code Also]: “transport vehicle as the place of occurrence of the external cause (Y92.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 4 more
Nearest codes (40)
- Y92 — Place of occurrence of the external cause[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y92.53 — Ambulatory health services establishments as the place of occurrence of the external cause[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y92.530 — Ambulatory surgery center as the place of occurrence of the external cause[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y92.531 — Health care provider office as the place of occurrence of the external cause[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y92.532 — Urgent care center as the place of occurrence of the external cause[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y92.538 — Other ambulatory health services establishments as the place of occurrence of the external cause[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y92.59 — Other trade areas as the place of occurrence of the external cause[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- Y92.6 — Industrial and construction area as the place of occurrence of the external cause[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can Y92.81 be billed directly?
No. Y92.81 (Transport vehicle 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
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionTransport vehicle 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 Y92.81 in its code family, with their registry titles.
- Y92.72 — Chicken coop as the place of occurrence of the external cause
- Y92.73 — Farm field as the place of occurrence of the external cause
- Y92.74 — Orchard as the place of occurrence of the external cause
- Y92.79 — Other farm location as the place of occurrence of the external cause
- Y92.8 — Other places as the place of occurrence of the external cause
- Y92.810 — Car as the place of occurrence of the external cause
- Y92.811 — Bus as the place of occurrence of the external cause
- Y92.812 — Truck as the place of occurrence of the external cause
- Y92.813 — Airplane as the place of occurrence of the external cause
- Y92.814 — Boat as the place of occurrence of the external cause