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Y90 ICD-10-CM Code: Evidence of alcohol involvement determined by blood alcohol level

Y90 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupY90

FY 2026 Apr update / External causes of morbidity (V00-Y99) / Supplementary factors related to causes of morbidity classified elsewhere (Y90-Y99)

Y90

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Evidence of alcohol involvement determined by blood alcohol level

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for Y90. Check the code and parent instructions in the Code Book.

Excludes 2

Official

No Excludes 2 notes are included in this display for Y90. Check the code and parent instructions in the Code Book.

Includes

Official

No Includes notes are included in this display for Y90. Check the code and parent instructions in the Code Book.

Excludes 1

Official

No Excludes 1 notes are included in this display for Y90. Check the code and parent instructions in the Code Book.

Code First

Official
  • any associated alcohol related disorders (F10)

Use Additional

Official

No Use Additional Code instructions are included in this display for Y90. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for Y90. Check the code and parent instructions in the Code Book.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
Y90
Description
Evidence of alcohol involvement determined by blood alcohol level
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

Y90 is the ICD-10-CM diagnosis code for evidence of alcohol involvement determined by blood alcohol level. Y90 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering supplementary factors related to causes of morbidity classified elsewhere (y90-y99).

Header codes like Y90 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Y90 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Code First

  • any associated alcohol related disorders (F10)

Child Codes

Code Hierarchy

Y90Evidence of alcohol involvement determined by blood alcohol level
Y90Evidence of alcohol involvement determined by blood alcohol level

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