2025 ICD-10-CM code Y07.54
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Assault Chapter 20: External Causes of Morbidity Feed
Identifies an acquaintance or friend as the perpetrator of maltreatment and 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.
- Chapter 20: External Causes of Morbidity
- Y07.5 Non-family member, perpetrator of maltreatment and neglect
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.
- Payment Status: Active
- Specialties:Emergency Medicine, Pediatrics, Family Medicine, Psychiatry
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital, Other Place of Service