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2025 ICD-10-CM code Y07.54

Identifies an acquaintance or friend as the perpetrator of maltreatment and neglect.

This code should always be used in conjunction with codes from Chapter 19 to describe the nature and extent of the injuries or conditions resulting from the abuse or neglect.

Medical necessity is established by the presence of injury or emotional distress as a result of the documented maltreatment and neglect. The severity of the condition and the need for treatment should also be documented.

Documenting the circumstances of the abuse, identifying the perpetrator, and reporting the incident to the appropriate authorities.

IMPORTANT:Related codes include other specific perpetrators within the Y07 code block (e.g., family members, daycare providers, healthcare providers) and Y07.9 for unspecified perpetrators.Additional codes from Chapter 19 (S00-T88) are required to specify the nature of the injury or condition resulting from the maltreatment.

In simple words: This code is used when someone you know, like a friend or acquaintance, hurts or neglects you.

This ICD-10-CM code, Y07.54, specifies that the perpetrator of maltreatment and neglect is an acquaintance or friend of the victim.It is used to classify the circumstances surrounding the abuse, not the nature of the injuries themselves.This code is supplementary; a code from another chapter, most often Chapter 19 (Injury, poisoning and certain other consequences of external causes), should be used to indicate the type of injury or condition resulting from the maltreatment and neglect.

Example 1: A 15-year-old female patient reports being emotionally abused and neglected by a close friend for over six months. The friend made her feel worthless and isolated, leading to depression and anxiety., An elderly male patient is found malnourished and neglected.Investigation reveals his long-time friend was responsible for his care and failed to provide adequate food and personal hygiene., A child with bruises and injuries reports being pushed and slapped by a neighborhood friend. The child also experienced verbal abuse from the friend.

Detailed documentation of the abuse, including the nature of the abuse (physical, emotional, neglect), the frequency, duration, and impact on the victim's physical and psychological health.Documentation must also identify the perpetrator as an acquaintance or friend and include any witness statements or other supporting evidence. Proper documentation of injuries using codes from Chapter 19 is also required.

** While this code focuses on the perpetrator's relationship to the victim, it’s crucial to code the specific type of maltreatment or neglect experienced by the patient using the appropriate codes from Chapter 19.This will ensure accurate and complete billing and facilitate better tracking and analysis of abuse cases.

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