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2025 ICD-10-CM code Y07.13

Maltreatment and neglect by adoptive father.

This code should be used in conjunction with a code from Chapter 19 (Injury, poisoning, and certain other consequences of external causes) to specify the nature of the injury. If the condition falls under Chapters 1-18, use a code from Chapter 20 to provide further details on the cause.

The medical necessity for using this code rests on establishing a clear causal link between the maltreatment and neglect by the adoptive father and the patient's condition.Documentation must support the fact that the injuries or condition directly result from the abuse or neglect.

Clinicians should use this code as a secondary code to the primary diagnosis describing the injury or condition resulting from the maltreatment.It is crucial to document details about the type of maltreatment, the nature of injuries or neglect, and any other relevant information.

In simple words: This code indicates that a person experienced maltreatment or neglect by their adoptive father.

The code Y07.13 describes injuries or conditions due to maltreatment and neglect by the adoptive father. This encompasses various forms of abuse, including physical, emotional, sexual abuse, neglect, and abandonment.

Example 1: A child presents with multiple bruises and fractures at different stages of healing. Upon investigation, it is determined that the child’s adoptive father is responsible for the injuries., An adult reports emotional abuse and neglect from their adoptive father. The adult shows signs of psychological distress and describes a long history of verbal abuse and emotional manipulation by the father., A child is brought to the hospital with severe malnutrition and dehydration. It's found that the adoptive father has been neglecting the child's basic needs by not providing adequate food and care.

Thorough documentation of the abuse or neglect is essential. This includes detailed descriptions of physical findings, psychological assessments, patient statements, and any other evidence supporting the diagnosis of maltreatment.Reports from child protective services or law enforcement may also be relevant.

** Remember that Y07.13 is used as a secondary code to provide additional information about the cause of the condition.The primary code should describe the injury or condition itself.Accurate and detailed documentation is crucial for proper coding and reporting in cases of maltreatment and neglect.

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