Y07.41 vs Y07.435
Y07.41 (Sibling, perpetrator of maltreatment and neglect) compared with Y07.435 (Stepbrother, perpetrator of maltreatment and neglect), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Y07.41 carries an Excludes1 note covering Y07.435: “stepsibling, perpetrator of maltreatment and neglect (Y07.435, Y07.436)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| Y07.41Sibling, perpetrator of maltreatment and neglect | Y07.435Stepbrother, perpetrator of maltreatment and neglect | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Sibling, perpetrator of maltreatment and neglect is a non-billable ICD-10-CM category code (Y07.41). | Stepbrother, perpetrator of maltreatment and neglect is a billable ICD-10-CM diagnosis code (Y07.435). |
| Includes | perpetrator of abandonment perpetrator of emotional neglect perpetrator of mental cruelty perpetrator of physical abuse | perpetrator of abandonment perpetrator of emotional neglect perpetrator of mental cruelty perpetrator of physical abuse |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources