2025 ICD-10-CM code Y07
(Active) Effective Date: N/A Revision Date: N/A External causes of morbidity - Other maltreatment Chapter 20: External Causes of Morbidity Feed
Perpetrator of assault, maltreatment, and neglect.
No modifiers are typically applied to this code.
Medical necessity is established by evidence of abuse leading to physical or psychological harm requiring medical intervention.Documentation must support the claim of abuse and the need for treatment.
The clinical responsibility lies in accurately identifying and documenting the perpetrator's role in causing harm to the victim.This requires a thorough assessment of the circumstances, including gathering information from the victim, witnesses, and any relevant documentation (police reports, social worker notes, etc.).
In simple words: This code is used to identify the person who caused harm to someone through assault, mistreatment, or neglect.This might include physical or emotional abuse, sexual abuse, or other forms of mistreatment.Doctors use this code along with other codes that describe the injuries or problems caused by the abuse.
This code classifies the perpetrator of assault, maltreatment, and neglect.It is used to identify the individual responsible for the abuse, including various forms of maltreatment such as mental cruelty, physical abuse, sexual abuse, and torture.This code is used in conjunction with codes indicating the nature of the injury or condition resulting from the abuse (often found in Chapter 19, Injury, poisoning, and certain other consequences of external causes (S00-T88)).The selection of the correct perpetrator code depends on the relationship between the perpetrator and the victim.Note that this code is applicable only in cases of confirmed abuse.
Example 1: A child is admitted to the hospital with multiple bruises and fractures consistent with physical abuse. Code Y07 is used to identify the parent as the perpetrator, along with codes from Chapter 19 describing the injuries sustained., An elderly patient is brought to the emergency room with signs of neglect and dehydration. Code Y07 is used to document the caregiver as the perpetrator, alongside codes reflecting the patient's medical condition., A woman presents to a clinic with emotional distress and symptoms of post-traumatic stress disorder following prolonged psychological abuse by her spouse.Code Y07.0 (by spouse or partner) is used along with the appropriate mental health codes.
Thorough documentation is needed, including details of the abuse (type, frequency, duration), the relationship between the perpetrator and the victim, and any supporting evidence (photos, witness statements, police reports).
** This code is for reporting the perpetrator of the abuse, not the resulting injury or condition.Appropriate codes from Chapter 19 must also be used to describe the injuries or conditions caused by the abuse.Always verify your coding with the most current ICD-10-CM guidelines and official resources.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Emergency Medicine, Pediatrics, Family Medicine, Psychiatry, Social Work
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital