Z74.2 — Need for assistance at home and no other household member able to render care
Z74.2 is a billable, specific ICD-10-CM code for need for assistance at home and no other household member able to render care. It is valid for submission on a claim.
Other codes that can never be billed with Z74.2
These codes carry an Excludes1 note pointing at Z74.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z74.2 alone.
- Z75.0Medical services not available in home
Risk adjustment
Z74.2 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.
How Z74.2 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z74.2.
- Lack of›person able to render necessary care
- Living alone›with handicapped person
- Care›unavailable, due to›absence of person rendering care
- Care›unavailable, due to›inability of person rendering care(any reason)
- Inadequate, inadequacy›household care, due to›temporary absence from home of person rendering care
- Lack of›care›in home
- Need›care provider because›no other household member able to render care
- Care›family member›unavailable, due to›absence(person rendering care) (sufferer)
- Care›family member›unavailable, due to›inability of person rendering care(any reason)
- Dependence›on›care provider›no other household member able to render care
- Inadequate, inadequacy›household care, due to›family member›handicapped or ill
- Inadequate, inadequacy›household care, due to›family member›temporarily away from home
Related codes at this level
Codes that share Z74. If Z74.2 is not quite right, the correct code is usually one of these.
Questions about Z74.2
- Is Z74.2 a billable ICD-10-CM code?
- Yes. Z74.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z74.2 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in other circumstances (Z69-Z76).