Coding and coverage · ICD-10-CM

Y07 Perpetrator of assault, maltreatment and neglect

Not billable (header)Chapter 20

Report one of the more specific codes below.

Check coverage with this diagnosis

Codes under this one

  • Y07.0 Spouse or partner, perpetrator of maltreatment and neglectHeader
  • Y07.1 Parent (adoptive) (biological), perpetrator of maltreatment and neglectHeader
  • Y07.4 Other family member, perpetrator of maltreatment and neglectHeader
  • Y07.5 Non-family member, perpetrator of maltreatment and neglectHeader
  • Y07.6 Multiple perpetrators of maltreatment and neglect
  • Y07.9 Unspecified perpetrator of maltreatment and neglect

Instructional notes

Chapter 20

Notes
  • This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.

Section X92-Y09

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • injuries due to legal intervention (Y35.-)
  • injuries due to operations of war (Y36.-)
  • injuries due to terrorism (Y38.-)
Includes
  • homicide
  • injuries inflicted by another person with intent to injure or kill, by any means

This code

Includes
  • perpetrator of abandonment
  • perpetrator of emotional neglect
  • perpetrator of mental cruelty
  • perpetrator of physical abuse
  • perpetrator of physical neglect
  • perpetrator of sexual abuse
  • perpetrator of torture
  • perpetrator of verbal abuse
Notes
  • Codes from this category are for use only in cases of confirmed abuse (T74.-)
  • Selection of the correct perpetrator code is based on the relationship between the perpetrator and the victim

Chapter 20: External causes of morbidity · X92-Y09 Assault (X92-Y09)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.