Is Y07.43 a billable ICD-10-CM code?

No. Y07.43 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Y07.43 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Assault (X92-Y09).

Y07.43

Y07.43 — Stepparent or stepsibling, perpetrator of maltreatment and neglect

Non-billable headerICD-10-CM

Y07.43 is a non-billable header ICD-10-CM code for stepparent or stepsibling, perpetrator of maltreatment and neglect. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with Y07.43

These codes carry an Excludes1 note pointing at Y07.43. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Y07.43 alone.

Y07.41Sibling, perpetrator of maltreatment and neglect

Risk adjustment

Y07.43 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 Y07.43

6 child codes. Green means billable.

Related codes at this level

Codes that share Y07.4. If Y07.43 is not quite right, the correct code is usually one of these.

Questions about Y07.43

Is Y07.43 a billable ICD-10-CM code?: No. Y07.43 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Y07.43 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Assault (X92-Y09).