Y72.2 ICD-10-CM Code: Prosthetic and other implants, materials and accessory otorhinolaryngological devices associated with adverse incidents
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FY 2026 Apr update / External causes of morbidity (V00-Y99) / Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82)
Y72.2
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceProsthetic and other implants, materials and accessory otorhinolaryngological devices associated with adverse incidents
An adverse event or injury caused by a prosthetic implant, material, or accessory device used in ear, nose, or throat procedures, such as hearing aids, voice implants, or nasal stents.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Y72.2 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Y72.2 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Y72.2 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for Y72.2 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Y72.2 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Y72.2 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Y72.2 in this effective period.
Buddy Documentation Tip
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 Y72.2 an HCC code?
No. Y72.2 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Y72.2 is the ICD-10-CM diagnosis code for prosthetic and other implants, materials and accessory otorhinolaryngological devices associated with adverse incidents. An adverse event or injury caused by a prosthetic implant, material, or accessory device used in ear, nose, or throat procedures, such as hearing aids, voice implants, or nasal stents. Y72.2 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering medical devices associated with adverse incidents in diagnostic and therapeutic use (y70-y82).
Y72.2 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code when documenting complications from ENT implants or prosthetic devices, including malfunction, infection, or rejection.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y72.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code when documenting complications from ENT implants or prosthetic devices, including malfunction, infection, or rejection
- •Pair with a code describing the specific adverse outcome (e.g., infection, mechanical failure) for complete documentation