Y07
Y07 — Perpetrator of assault, maltreatment and neglect
Non-billable headerICD-10-CM
Y07 is a non-billable header ICD-10-CM code for perpetrator of assault, maltreatment and neglect. It cannot be billed on its own: choose one of the more specific child codes below.
Includes
Conditions this code covers.
- perpetrator of abandonment
- perpetrator of emotional neglect
- perpetrator of mental cruelty
- perpetrator of physical abuse
- perpetrator of physical neglect
- perpetrator of sexual abuse
- perpetrator of torture
- perpetrator of verbal abuse
Notes
Additional guidance from the ICD-10-CM tabular list.
- Codes from this category are for use only in cases of confirmed abuse (T74.-)
- Selection of the correct perpetrator code is based on the relationship between the perpetrator and the victim
Other codes that can never be billed with Y07
These codes carry an Excludes1 note pointing at Y07. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Y07 alone.
- Y07.41Sibling, perpetrator of maltreatment and neglect
Risk adjustment
Y07 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead Y07
6 child codes. Green means billable.
- Y07.0Spouse or partner, perpetrator of maltreatment and neglect
- Y07.1Parent (adoptive) (biological), perpetrator of maltreatment and neglect
- Y07.4Other family member, perpetrator of maltreatment and neglect
- Y07.5Non-family member, perpetrator of maltreatment and neglect
- Y07.6Multiple perpetrators of maltreatment and neglect
- Y07.9Unspecified perpetrator of maltreatment and neglect
Questions about Y07
- Is Y07 a billable ICD-10-CM code?
- No. Y07 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Y07 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Assault (X92-Y09).