Skip to main content

Y07.512 ICD-10-CM Code: At-home adultcare provider, perpetrator of maltreatment and neglect

Compare with another code for Y07.512Check this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
10 inclusion terms · 3 Excludes1

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Excludes1from X92-Y09Not reported with this code unless documented as unrelated
  • injuries due to legal intervention (Y35.-)
  • injuries due to operations of war (Y36.-)
  • injuries due to terrorism (Y38.-)
IncludesWhat this code covers
  • perpetrator of abandonment (from Y07)
  • perpetrator of emotional neglect (from Y07)
  • perpetrator of mental cruelty (from Y07)
  • perpetrator of physical abuse (from Y07)

+6 more in Instructions

Where it sits Source: CMS/NCHS

Under:Chapter 20: External Causes of MorbidityX92-Y09 AssaultY07 Perpetrator of assault, maltreatment and neglectY07.5 Non-family member, perpetrator of maltreatment and neglectY07.51 Daycare provider, perpetrator of maltreatment and neglect

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Y07.512 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on Y07.512 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • perpetrator of abandonment inherited from Y07
  • perpetrator of emotional neglect inherited from Y07
  • perpetrator of mental cruelty inherited from Y07
  • perpetrator of physical abuse inherited from Y07
  • perpetrator of physical neglect inherited from Y07
  • perpetrator of sexual abuse inherited from Y07
  • perpetrator of torture inherited from Y07
  • perpetrator of verbal abuse inherited from Y07
  • homicide inherited from X92-Y09
  • injuries inflicted by another person with intent to injure or kill, by any means inherited from X92-Y09

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from X92-Y09

Coder workflow for Y07.512

MedCoder structured workflow — derived from this code’s own official record

Before you code Y07.512

  1. An external cause code is reported in addition to the code for the injury or condition, never as the principal or first-listed diagnosis. Confirm the cause, intent, place of occurrence, activity and status where the record documents them, and assign the 7th character that matches the injury code. External cause coding guidelines (Guidelines I.C.20.a).

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with Y07.512. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in Y07.512’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewY35, Y36, Y38

Consider Y07.512. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes1 — check before selecting Y07.512(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Y07.512: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareY35, Y36, Y38

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition Y07.512 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewY35, Y36, Y38

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse Y07.512 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of Y07.512 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • Y35— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of injuries due to legal intervention moves the case to Y35; the two are not reported together unless documented as unrelated.

    Full comparison: Y07.512 vs Y35 →

  • Y36— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of injuries due to operations of war moves the case to Y36; the two are not reported together unless documented as unrelated.

    Full comparison: Y07.512 vs Y36 →

  • Y38— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of injuries due to terrorism moves the case to Y38; the two are not reported together unless documented as unrelated.

    Full comparison: Y07.512 vs Y38 →

  • Y07.519— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Unspecified daycare provider, perpetrator of maltreatment and neglect” takes Y07.519; specificity in the record moves it back here.

    Full comparison: Y07.512 vs Y07.519 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

At-home adultcare provider, perpetrator of maltreatment and neglect is a billable ICD-10-CM diagnosis code (Y07.512).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 19: Injury, poisoning, and certain other consequences of external causes (S00-T88)

For cases of confirmed abuse or neglect an external cause code from the assault section (X92-Y09) should be added to identify the cause of any physical injuries. A perpetrator code (Y07) should be added when the perpetrator of the abuse is known. For suspected cases of abuse or neglect, do not report external cause or perpetrator code.

Chapter 20: External Causes of Morbidity (V00-Y99)

For confirmed cases of abuse, neglect and maltreatment, when the perpetrator is known, a code from Y07, Perpetrator of maltreatment and neglect, should accompany any other assault codes.

Verify Before Coding

  • Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name Y07.512 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 4 Use Additional Code instructions across 2 chapters: O9A.3 — Physical abuse complicating pregnancy, childbirth and the puerperium (via Y07.-), O9A.4 — Sexual abuse complicating pregnancy, childbirth and the puerperium (via Y07.-), O9A.5 — Psychological abuse complicating pregnancy, childbirth and the puerperium (via Y07.-), T74 — Adult and child abuse, neglect and other maltreatment, confirmed (via Y07.-).

These codes instruct coders to additionally report this code when it applies.

Clinical classification (AHRQ CCSR):EXT018 — External cause codes: other specified, classifiable and NEC; initial encounter; EXT022 — External cause codes: intent of injury, assault.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (External cause codes: other specified, classifiable and NEC; initial encounter, External cause codes: intent of injury, assault).

+818 more

Contextual Map

Every relationship of Y07.512 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run Y07.512 with these 4 related codes in Claim Check

Hierarchy

Referenced by Use Additional Code instructions

Clinical classification (CCSR)

External cause index

  • Perpetrator, perpetration, of assault, maltreatment and neglect (by), daycare provider, at-home, adult care[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2027

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed As (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Circumstance phrases from the official ICD-10-CM External Cause of Injuries Index that map to this code.

  • Perpetrator, perpetration, of assault, maltreatment and neglect (by), daycare provider, at-home, adult care

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "Y07.512 — At-home adultcare provider, perpetrator of maltreatment and neglect." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/y07.512-at-home-adultcare-provider-perpetrator-of-maltreatment-and-neglect

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    At-home adultcare provider, perpetrator of maltreatment and neglect

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Y07.512 in its code family, with their registry titles.

View all codes in the Y07 family