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Y92.512 ICD-10-CM Code: Supermarket, store or market as the place of occurrence of the external cause

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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

Y92.512

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

Supermarket, store or market as the place of occurrence of the external cause

An injury or accident that occurred in a supermarket, grocery store, or market shopping area.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

Basket needed

Code Book Path

Official
Y92.5Trade and service area as the place of occurrence of the external cause
Y92.51Private commercial establishments as the place of occurrence of the external cause
Y92.512Supermarket, store or market as the place of occurrence of the external cause

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Y92.512 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Y92.512 in this effective period.

Related Child Codes

Official
Y92.510Bank as the place of occurrence of the external cause
Y92.511Restaurant or cafe as the place of occurrence of the external cause
Y92.513Shop (commercial) as the place of occurrence of the external cause

Includes

Official

ICD-10-CM does not list Includes notes for Y92.512 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Y92.512 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Y92.512 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Y92.512 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Y92.512 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Common scenarios include falls from ladders, slips on wet floors, or items falling from shelves
Use with external cause codes (W00-W19 for falls, W20-W49 for struck by objects, etc.)

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 Y92.512 an HCC code?

No. Y92.512 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

Y92.512 is the ICD-10-CM diagnosis code for supermarket, store or market as the place of occurrence of the external cause. An injury or accident that occurred in a supermarket, grocery store, or market shopping area. Y92.512 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).

Y92.512 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.

Common scenarios include falls from ladders, slips on wet floors, or items falling from shelves.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y92.512 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Common scenarios include falls from ladders, slips on wet floors, or items falling from shelves
  • Use with external cause codes (W00-W19 for falls, W20-W49 for struck by objects, etc.)

Child Codes

Code Hierarchy

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