Nosocomial condition
In Supplementary factors related to causes of morbidity classified elsewhere (Y90-Y99), chapter 20: External Causes of Morbidity
- Y95 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under Y90-Y99 below.
- As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
- Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
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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)
Other codes under Y90-Y99
Supplementary factors related to causes of morbidity classified elsewhere (Y90-Y99)
Y95 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
Related conditions
Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.
Y95 is in External cause codes: complications of medical and surgical care, initial encounter (EXT025), with 116 codes. Others in it:
- Y62.0 Failure of sterile precautions during surgical operation
- Y62.1 Failure of sterile precautions during infusion or transfusion
- Y62.2 Failure of sterile precautions during kidney dialysis and other perfusion
- Y62.3 Failure of sterile precautions during injection or immunization
- Y62.4 Failure of sterile precautions during endoscopic examination
- Y62.5 Failure of sterile precautions during heart catheterization
- Y62.6 Failure of sterile precautions during aspiration, puncture and other catheterization
- Y62.8 Failure of sterile precautions during other surgical and medical care
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Infection Control
Every year, lives are lost because of the spread of infections in hospitals. Health care workers can take steps to prevent the spread of infectious diseases. These steps are part of infection control.
Read more about infection control on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.