Hello, I love to hear anyone's take on Y92 guideline "Generally, a place of occurrence code is used only once, at the initial encounter for treatment". Coder was dinged on audit for reporting Y92.810 Car as place of Occurr. additionally w/fracture code S62.336A. The encounter was ambulatory surgery (facility coding) after the pt. had been seen at clinic a few days ago. My thought is 7th character A is initial encounter (surgery is an example of active treatment), therefore adding a place of occurr. is appropriate. anyone agree or disagree and why. thanks for any feedback.