Is ICD-10-CM code Y65 billable?

No, Y65 (Other misadventures during surgical and medical care) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code Y65 belong to?

Y65 belongs to Chapter 20 of the ICD-10-CM tabular list: V00–Y99 (External Causes of Morbidity).

Y65Not billable, use a more specific code below

Other misadventures during surgical and medical care

In Misadventures to patients during surgical and medical care (Y62-Y69), chapter 20: External Causes of Morbidity

9 billable codes under Y65: none are a CC or MCC; none map to an HCC.

Instructional notes

Also applies, from Misadventures to patients during surgical and medical care (Y62-Y69)

These notes sit on Y62-Y69 and apply to every code under it, including Y65.

Excludes1: not coded here, use a different code

surgical and medical procedures as the cause of abnormal reaction of the patient, without mention of misadventure at the time of the procedure (Y83-Y84)

Excludes2: not included here, code separately if applicable

breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers how to report external cause codes (V00-Y99) describing cause, intent, place, activity, and status. They are never principal or first-listed, and reporting is voluntary unless required.

General External Cause Coding Guidelines (page 88)
Place of Occurrence Guideline (page 89)
Activity Code (page 89)
Place of Occurrence, Activity, and Status Codes Used with other External Cause Code (page 89)
If the Reporting Format Limits the Number of External Cause Codes (page 90)
Multiple External Cause Coding Guidelines (page 90)
Child and Adult Abuse Guideline (page 90)
Unknown or Undetermined Intent Guideline (page 91)

Read Section I.C.20 (page 87), 3 more topics

All codes under Y65

Y65 can't be used on a claim. Pick a billable code below; grey headings group them.

Y65 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Patient Safety

You can help prevent medical errors by being an active member of your health care team. Research shows that patients who are more involved with their care tend to get better results. To reduce the risk of medical errors, you can:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.