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 170 of 384.

S72.423FDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.423GDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with delayed healingBillable
S72.423HDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.423JDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.423KDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with nonunionBillable
S72.423MDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.423NDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.423PDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with malunionBillable
S72.423QDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.423RDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.423SDisplaced fracture of lateral condyle of unspecified femur, sequelaBillable
S72.424DNondisplaced fracture of lateral condyle of right femur, subsequent encounter for closed fracture with routine healingBillable
S72.424ENondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.424FNondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.424GNondisplaced fracture of lateral condyle of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.424HNondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.424JNondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.424KNondisplaced fracture of lateral condyle of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.424MNondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.424NNondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.424PNondisplaced fracture of lateral condyle of right femur, subsequent encounter for closed fracture with malunionBillable
S72.424QNondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.424RNondisplaced fracture of lateral condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.424SNondisplaced fracture of lateral condyle of right femur, sequelaBillable
S72.425DNondisplaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with routine healingBillable
S72.425ENondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.425FNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.425GNondisplaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with delayed healingBillable
S72.425HNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.425JNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.425KNondisplaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with nonunionBillable
S72.425MNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.425NNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.425PNondisplaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with malunionBillable
S72.425QNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.425RNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.425SNondisplaced fracture of lateral condyle of left femur, sequelaBillable
S72.426DNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with routine healingBillable
S72.426ENondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.426FNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.426GNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with delayed healingBillable
S72.426HNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.426JNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.426KNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with nonunionBillable
S72.426MNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.426NNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.426PNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with malunionBillable
S72.426QNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.426RNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.426SNondisplaced fracture of lateral condyle of unspecified femur, sequelaBillable
S72.431DDisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with routine healingBillable
S72.431EDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.431FDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.431GDisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.431HDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.431JDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.431KDisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.431MDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.431NDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.431PDisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with malunionBillable
S72.431QDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.431RDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.431SDisplaced fracture of medial condyle of right femur, sequelaBillable
S72.432DDisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with routine healingBillable
S72.432EDisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.432FDisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.432GDisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with delayed healingBillable
S72.432HDisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.432JDisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.432KDisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with nonunionBillable
S72.432MDisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.432NDisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.432PDisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with malunionBillable
S72.432QDisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.432RDisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.432SDisplaced fracture of medial condyle of left femur, sequelaBillable
S72.433DDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for closed fracture with routine healingBillable
S72.433EDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.433FDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.433GDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for closed fracture with delayed healingBillable
S72.433HDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.433JDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.433KDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for closed fracture with nonunionBillable
S72.433MDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.433NDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.433PDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for closed fracture with malunionBillable
S72.433QDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.433RDisplaced fracture of medial condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.433SDisplaced fracture of medial condyle of unspecified femur, sequelaBillable
S72.434DNondisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with routine healingBillable
S72.434ENondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.434FNondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.434GNondisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with delayed healingBillable
S72.434HNondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.434JNondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.434KNondisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with nonunionBillable
S72.434MNondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.434NNondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.434PNondisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with malunionBillable
S72.434QNondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with malunionBillable

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