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 167 of 384.

S72.354ENondisplaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.354FNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.354GNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.354HNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.354JNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.354KNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.354MNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.354NNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.354PNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for closed fracture with malunionBillable
S72.354QNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.354RNondisplaced comminuted fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.354SNondisplaced comminuted fracture of shaft of right femur, sequelaBillable
S72.355DNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with routine healingBillable
S72.355ENondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.355FNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.355GNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with delayed healingBillable
S72.355HNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.355JNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.355KNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with nonunionBillable
S72.355MNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.355NNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.355PNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with malunionBillable
S72.355QNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.355RNondisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.355SNondisplaced comminuted fracture of shaft of left femur, sequelaBillable
S72.356DNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healingBillable
S72.356ENondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.356FNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.356GNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healingBillable
S72.356HNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.356JNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.356KNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with nonunionBillable
S72.356MNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.356NNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.356PNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunionBillable
S72.356QNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.356RNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.356SNondisplaced comminuted fracture of shaft of unspecified femur, sequelaBillable
S72.361DDisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with routine healingBillable
S72.361EDisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.361FDisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.361GDisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.361HDisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.361JDisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.361KDisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.361MDisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.361NDisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.361PDisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with malunionBillable
S72.361QDisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.361RDisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.361SDisplaced segmental fracture of shaft of right femur, sequelaBillable
S72.362DDisplaced segmental fracture of shaft of left femur, subsequent encounter for closed fracture with routine healingBillable
S72.362EDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.362FDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.362GDisplaced segmental fracture of shaft of left femur, subsequent encounter for closed fracture with delayed healingBillable
S72.362HDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.362JDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.362KDisplaced segmental fracture of shaft of left femur, subsequent encounter for closed fracture with nonunionBillable
S72.362MDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.362NDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.362PDisplaced segmental fracture of shaft of left femur, subsequent encounter for closed fracture with malunionBillable
S72.362QDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.362RDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.362SDisplaced segmental fracture of shaft of left femur, sequelaBillable
S72.363DDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healingBillable
S72.363EDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.363FDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.363GDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healingBillable
S72.363HDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.363JDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.363KDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with nonunionBillable
S72.363MDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.363NDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.363PDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunionBillable
S72.363QDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.363RDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.363SDisplaced segmental fracture of shaft of unspecified femur, sequelaBillable
S72.364DNondisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with routine healingBillable
S72.364ENondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.364FNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.364GNondisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.364HNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.364JNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.364KNondisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.364MNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.364NNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.364PNondisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with malunionBillable
S72.364QNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.364RNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.364SNondisplaced segmental fracture of shaft of right femur, sequelaBillable
S72.365DNondisplaced segmental fracture of shaft of left femur, subsequent encounter for closed fracture with routine healingBillable
S72.365ENondisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.365FNondisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.365GNondisplaced segmental fracture of shaft of left femur, subsequent encounter for closed fracture with delayed healingBillable
S72.365HNondisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.365JNondisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.365KNondisplaced segmental fracture of shaft of left femur, subsequent encounter for closed fracture with nonunionBillable
S72.365MNondisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.365NNondisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.365PNondisplaced segmental fracture of shaft of left femur, subsequent encounter for closed fracture with malunionBillable

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