ICD-10 Y07
Non-Billable HeaderPerpetrator of assault, maltreatment and neglect
About ICD-10-CM Y07
ICD-10-CM code Y07 represents Perpetrator of assault, maltreatment and neglect. This is a non-billable header code in the External Causes of Morbidity chapter (block Y07). The 2026 edition of ICD-10-CM Y07 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
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
Medicare LCD Coverage for Y07
Local Coverage Determinations (LCDs) from CMS MACs that list Y07 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Y07.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Y07 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Y07
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Y07
Other codes in section X92-Y09 (Assault).
ICD-10 Y07, Billing FAQ
Is ICD-10 code Y07 billable? +
No, Y07 is a non-billable header code. Use a more specific child code from block Y07 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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