What does POA exempt mean in ICD-10-CM?

A POA exempt code does not require a Present On Admission indicator on inpatient claims. CMS exempts codes that always describe circumstances rather than acute conditions, such as external cause codes, sequela codes, and status Z codes.

How many ICD-10-CM codes are POA exempt in FY2027?

CMS lists 38,399 ICD-10-CM codes as exempt from POA reporting for FY2027. Most come from chapter 19 (injury and poisoning, largely sequela codes) and chapter 20 (external causes of morbidity).

What POA indicator is used for an exempt code?

No indicator is required. On the UB-04 or 837I claim, the POA field for an exempt code is left blank. Y, N, U or W must not be reported for codes on the exempt list.

Present On Admission Exempt Codes

ICD-10-CM diagnosis codes exempt from POA reporting based on the official FY2027 CMS POA exempt list.

Codes on this list

38,399 codes, page 158 of 384.

S72.046RNondisplaced fracture of base of neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.046SNondisplaced fracture of base of neck of unspecified femur, sequelaBillable
S72.051DUnspecified fracture of head of right femur, subsequent encounter for closed fracture with routine healingBillable
S72.051EUnspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.051FUnspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.051GUnspecified fracture of head of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.051HUnspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.051JUnspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.051KUnspecified fracture of head of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.051MUnspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.051NUnspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.051PUnspecified fracture of head of right femur, subsequent encounter for closed fracture with malunionBillable
S72.051QUnspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.051RUnspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.051SUnspecified fracture of head of right femur, sequelaBillable
S72.052DUnspecified fracture of head of left femur, subsequent encounter for closed fracture with routine healingBillable
S72.052EUnspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.052FUnspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.052GUnspecified fracture of head of left femur, subsequent encounter for closed fracture with delayed healingBillable
S72.052HUnspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.052JUnspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.052KUnspecified fracture of head of left femur, subsequent encounter for closed fracture with nonunionBillable
S72.052MUnspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.052NUnspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.052PUnspecified fracture of head of left femur, subsequent encounter for closed fracture with malunionBillable
S72.052QUnspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.052RUnspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.052SUnspecified fracture of head of left femur, sequelaBillable
S72.059DUnspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with routine healingBillable
S72.059EUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.059FUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.059GUnspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with delayed healingBillable
S72.059HUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.059JUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.059KUnspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with nonunionBillable
S72.059MUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.059NUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.059PUnspecified fracture of head of unspecified femur, subsequent encounter for closed fracture with malunionBillable
S72.059QUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.059RUnspecified fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.059SUnspecified fracture of head of unspecified femur, sequelaBillable
S72.061DDisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with routine healingBillable
S72.061EDisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.061FDisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.061GDisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.061HDisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.061JDisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.061KDisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.061MDisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.061NDisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.061PDisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with malunionBillable
S72.061QDisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.061RDisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.061SDisplaced articular fracture of head of right femur, sequelaBillable
S72.062DDisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with routine healingBillable
S72.062EDisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.062FDisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.062GDisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with delayed healingBillable
S72.062HDisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.062JDisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.062KDisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with nonunionBillable
S72.062MDisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.062NDisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.062PDisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with malunionBillable
S72.062QDisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.062RDisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.062SDisplaced articular fracture of head of left femur, sequelaBillable
S72.063DDisplaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with routine healingBillable
S72.063EDisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.063FDisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.063GDisplaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with delayed healingBillable
S72.063HDisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.063JDisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.063KDisplaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with nonunionBillable
S72.063MDisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.063NDisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.063PDisplaced articular fracture of head of unspecified femur, subsequent encounter for closed fracture with malunionBillable
S72.063QDisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.063RDisplaced articular fracture of head of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.063SDisplaced articular fracture of head of unspecified femur, sequelaBillable
S72.064DNondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with routine healingBillable
S72.064ENondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.064FNondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.064GNondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.064HNondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.064JNondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.064KNondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.064MNondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.064NNondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.064PNondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with malunionBillable
S72.064QNondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.064RNondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.064SNondisplaced articular fracture of head of right femur, sequelaBillable
S72.065DNondisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with routine healingBillable
S72.065ENondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.065FNondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.065GNondisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with delayed healingBillable
S72.065HNondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.065JNondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.065KNondisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with nonunionBillable

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