Y92.250
BillableArt Gallery as the place of occurrence of the external cause
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Y92.250 an HCC code?
No. Y92.250 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
Y92.250 is the ICD-10-CM diagnosis code for art gallery as the place of occurrence of the external cause. An injury or incident that occurred at an art gallery or art museum. Y92.250 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).
Y92.250 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.
Distinguish between art galleries (Y92.250) and general museums (Y92.251).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y92.250 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Distinguish between art galleries (Y92.250) and general museums (Y92.251)
- •This code identifies the location where an injury occurred, not the type of injury itself