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Y62.2 ICD-10-CM Code: Failure of sterile precautions during kidney dialysis and other perfusion

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FY 2026 Apr update / External causes of morbidity (V00-Y99) / Misadventures to patients during surgical and medical care (Y62-Y69)

Y62.2

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Failure of sterile precautions during kidney dialysis and other perfusion

A kidney dialysis or other perfusion procedure where sterile precautions were not properly followed.

Buddy the Bee presenting code insight

Buddy Insight

Failure of sterile precautions during kidney dialysis represents a serious breach in infection control that puts ESRD patients at high risk for bloodstream infections, hepatitis, and other serious complications.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

HCC 134

RAF 0.452

ACA/HHS

0

0

RAF 0

ESRD/PACE

HCC 134

RAF 0.0

RXHCC

HCC 261

RAF 0.0

Code Trumping

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Code Book Path

Official
Y62Failure of sterile precautions during surgical and medical care
Y62.2Failure of sterile precautions during kidney dialysis and other perfusion

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Y62.2 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Y62.2 in this effective period.

Related Child Codes

Official
Y62.0Failure of sterile precautions during surgical operation
Y62.1Failure of sterile precautions during infusion or transfusion
Y62.3Failure of sterile precautions during injection or immunization
Y62.4Failure of sterile precautions during endoscopic examination
Y62.5Failure of sterile precautions during heart catheterization

Includes

Official

ICD-10-CM does not list Includes notes for Y62.2 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Y62.2 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Y62.2 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Y62.2 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Y62.2 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Documentation of dialysis procedure being performed
Clear evidence of sterile precaution failure or breach
Description of specific sterile technique violation
Assessment of patient risk or actual adverse outcomes

MEAT Support

HCC Buddy guidance
Documentation of dialysis procedure being performed
Clear evidence of sterile precaution failure or breach
Description of specific sterile technique violation
Assessment of patient risk or actual adverse outcomes

Audit Caution

HCC Buddy guidance
Using general medical misadventure codes instead of dialysis-specific codes
Failing to code resulting infections or complications separately
Missing the need for additional codes describing actual patient harm
Confusing with routine dialysis encounter codes when complications occur

Common Mistakes

HCC Buddy guidance
Y60.9 — Unintentional cut, puncture, perforation or hemorrhage during medical care
Y65.51 — Performance of wrong procedure on correct patient
T82.7 — Infection and inflammatory reaction due to other cardiac and vascular devices
T80.212 — Bloodstream infection due to central venous catheter

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is Y62.2 an HCC code?

Yes. Y62.2 maps to Dialysis Status under the V24 model but is not retained in V28.

HCC Category Mapping

V24HCC 134, Dialysis Status
0.452
ESRDHCC 134, Dialysis Status
0.000
RxHCCHCC 261, End Stage Renal Disease and Dialysis
0.000

RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.

MEAT Criteria for Y62.2

For Y62.2to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed Y62.2 during that encounter, not just copy-forwarded from a problem list.

What This Code Means

Y62.2 is the ICD-10-CM diagnosis code for failure of sterile precautions during kidney dialysis and other perfusion. A kidney dialysis or other perfusion procedure where sterile precautions were not properly followed. Y62.2 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering misadventures to patients during surgical and medical care (y62-y69).

Under the older CMS-HCC V24 model, Y62.2 maps to Dialysis Status (HCC 134) with a community, non-dual, aged base RAF weight of 0.452. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.

Specify the type of perfusion procedure in the documentation. Because Y62.2 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y62.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Specify the type of perfusion procedure in the documentation
  • Link to any infection or complication codes that resulted from the breach in sterility

Clinical Significance

Failure of sterile precautions during kidney dialysis represents a serious breach in infection control that puts ESRD patients at high risk for bloodstream infections, hepatitis, and other serious complications. This code indicates a quality of care issue requiring investigation and corrective action.

Documentation Requirements

  • Documentation of dialysis procedure being performed
  • Clear evidence of sterile precaution failure or breach
  • Description of specific sterile technique violation
  • Assessment of patient risk or actual adverse outcomes
  • Infection control measures taken post-incident
  • Quality improvement or incident reporting documentation
  • Patient monitoring plan for potential complications
  • Corrective actions implemented to prevent recurrence

Commonly Confused Codes

  • Y60.9 — Unintentional cut, puncture, perforation or hemorrhage during medical care
  • Y65.51 — Performance of wrong procedure on correct patient
  • T82.7 — Infection and inflammatory reaction due to other cardiac and vascular devices
  • T80.212 — Bloodstream infection due to central venous catheter
  • Z49.01 — Encounter for fitting and adjustment of extracorporeal dialysis catheter

Child Codes

Code Hierarchy

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