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Y92.048 ICD-10-CM Code: Other place in boarding-house as the place of occurrence of the external cause

ICD-10-CM Code View

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

Y92.048

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

Other place in boarding-house as the place of occurrence of the external cause

An injury or accident happened in another specific location within a boarding house that doesn't fit standard categories like kitchen or bathroom.

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

Code Book Path

Official
Y92.0Non-institutional (private) residence as the place of occurrence of the external cause
Y92.04Boarding-house as the place of occurrence of the external cause
Y92.048Other place in boarding-house as the place of occurrence of the external cause

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Y92.048 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Y92.048 in this effective period.

Related Child Codes

Official
Y92.040Kitchen in boarding-house as the place of occurrence of the external cause
Y92.041Bathroom in boarding-house as the place of occurrence of the external cause
Y92.042Bedroom in boarding-house as the place of occurrence of the external cause
Y92.043Driveway of boarding-house as the place of occurrence of the external cause
Y92.044Garage of boarding-house as the place of occurrence of the external cause

Includes

Official

ICD-10-CM does not list Includes notes for Y92.048 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Y92.048 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Y92.048 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Y92.048 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Y92.048 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code for boarding house locations such as common rooms, laundry areas, or hallways
Always document the external cause code to indicate what type of injury occurred at this location

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 Y92.048 an HCC code?

No. Y92.048 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Y92.048
Description
Other place in boarding-house as the place of occurrence of the external cause
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Y92.048 is the ICD-10-CM diagnosis code for other place in boarding-house as the place of occurrence of the external cause. An injury or accident happened in another specific location within a boarding house that doesn't fit standard categories like kitchen or bathroom. Y92.048 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).

Y92.048 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 for boarding house locations such as common rooms, laundry areas, or hallways.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y92.048 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for boarding house locations such as common rooms, laundry areas, or hallways
  • Always document the external cause code to indicate what type of injury occurred at this location

Child Codes

Code Hierarchy

Work Y92.048 in HCC Buddy

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