2026 ICD-10-CM Diagnosis Code Y95Nosocomial condition

ICD-10-CM Codes›V01–Y99›Y90-Y99›Y95

ICD-10-CM Y95
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Y95 is a billable ICD-10-CM diagnosis code for nosocomial condition. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: complications of medical and surgical care, initial encounter.

Code Identity

ICD-10-CM Code
Y95
Billable Status
Yes — Valid for Submission
Code Describes
Nosocomial condition
Chapter
Y90-Y99
Supplementary factors related to causes of morbidity classified elsewhere

Code Classification

ChapterV01–Y99External causes of morbidity and mortality
SectionY90-Y99Supplementary factors related to causes of morbidity classified elsewhere
CategoryY95Nosocomial condition
This CodeY95Nosocomial condition

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acute bacterial bronchitis
  • Community hospital acquired pressure injury
  • Healthcare associated adenoviral disease
  • Healthcare associated bacterial pneumonia
  • Healthcare associated infectious disease
  • Healthcare associated influenza disease
  • Healthcare associated Legionnaires' disease
  • Healthcare associated parainfluenza virus disease
  • Healthcare associated pertussis
  • Healthcare associated pulmonary aspergillosis
  • Healthcare associated respiratory syncytial virus disease
  • Healthcare associated severe acute respiratory syndrome
  • Hospice acquired pressure injury
  • Hospital acquired pneumonia
  • Hospital acquired pressure injury
  • Infection caused by Bordetella
  • Legionella infection
  • Legionella pneumonia
  • Pertussis
  • Pulmonary aspergillosis
  • Severe acute respiratory syndrome

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EXT025
External cause codes: complications of medical and surgical care, initial encounter
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • COVID-19

    a viral disorder generally characterized by high fever; cough; dyspnea; chills; persistent tremor; muscle pain; headache; sore throat; a new loss of taste and/or smell (see ageusia and anosmia) and other symptoms of a viral pneumonia. a coronavirus, sars-cov-2 virus, in the genus betacoronavirus is the causative agent.

  • COVID-19 Testing

    diagnosis of covid-19 by assaying bodily fluids or tissues for the presence of covid-19 antibodies, sars-cov-2 antigens or the viral rna of sars-cov-2.

  • SARS-CoV-2

    a species of betacoronavirus causing atypical respiratory disease (covid-19) in humans. the organism was first identified in 2019 in wuhan, china. the natural host is the chinese intermediate horseshoe bat, rhinolophus affinis.

  • Severe Acute Respiratory Syndrome

    a viral disorder characterized by high fever, dry cough, shortness of breath (dyspnea) or breathing difficulties, and atypical pneumonia. a virus in the genus coronavirus is the suspected agent.

  • Severe acute respiratory syndrome-related coronavirus

    a species of coronavirus causing atypical respiratory disease (severe acute respiratory syndrome) in humans. the organism is believed to have first emerged in guangdong province, china, in 2002. the natural host is the chinese horseshoe bat, rhinolophus sinicus.

  • Invasive Pulmonary Aspergillosis

    lung infections with the invasive forms of aspergillus, usually after surgery, transplantation, prolonged neutropenia or treatment with high-doses of corticosteroids. invasive pulmonary aspergillosis can progress to chronic necrotizing pulmonary aspergillosis or hematogenous spread to other organs.

  • Pulmonary Aspergillosis

    infections of the respiratory tract with fungi of the genus aspergillus.

  • Aspergillus

    a genus of mitosporic fungi containing about 100 species and eleven different teleomorphs in the family trichocomaceae.

Patient EducationClinical

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 the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Y95 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
No Map There is no ICD-9 equivalent for this code.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Y95Overview

Is Y95 (Nosocomial condition) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report nosocomial condition on HIPAA-covered claims from October 1, 2025 through September 30, 2026.