2024 ICD-10-CM Diagnosis Code Z74.1
Need for assistance with personal care
- ICD-10-CM Code:
- Z74.1
- ICD-10 Code for:
- Need for assistance with personal care
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
Z74.1 is a billable diagnosis code used to specify a medical diagnosis of need for assistance with personal care. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Assistance required to brush own teeth
- Assistance required to clean own dentures
- Bathing assisted
- Bathing disability
- Cared for by family
- Cared for by night nurse
- Cared for by partner
- Cared for by spouse
- Caregiver not readily available
- Complex care needs
- Continence
- Continence
- Continence assisted
- Continence dependent
- Co-operates with dressing
- Dependent for bathing
- Dependent for dressing
- Dependent for personal grooming
- Dependent for personal hygiene activity
- Dependent for rising to feet
- Dependent for sitting
- Dependent for sitting down
- Dependent for standing
- Dependent in toilet
- Difficulty applying own make-up
- Difficulty cutting own fingernails
- Difficulty cutting own nails
- Difficulty cutting own toenails
- Difficulty managing incontinence appliance
- Difficulty managing nephrostomy care
- Difficulty managing stoma care
- Difficulty managing urinary catheter
- Difficulty performing hair care activities
- Difficulty performing nail care activities
- Difficulty performing personal grooming activity
- Difficulty putting on own wig
- Difficulty shaving
- Difficulty using toiletries
- Difficulty washing own hair
- District nurse attends
- Does not have a caregiver
- Does not perform personal grooming activity
- Domiciliary services
- Dressing-grooming self-care deficit
- Finding of availability of informal caregiver
- Finding related to ability to apply own make-up
- Finding related to ability to apply own make-up
- Finding related to ability to bath self
- Finding related to ability to bath self
- Finding related to ability to clean own dentures
- Finding related to ability to clean own teeth
- Finding related to ability to cut own fingernails
- Finding related to ability to cut own fingernails
- Finding related to ability to cut own toenails
- Finding related to ability to cut own toenails
- Finding related to ability to put on own wig
- Finding related to ability to put on own wig
- Finding related to ability to rise to feet
- Finding related to ability to shave
- Finding related to ability to shave
- Finding related to ability to stand
- Finding related to ability to wash own hair
- Finding related to ability to wash own hair
- Finding related to provision of home help
- Helps with dressing
- Home help attends
- Need for personal care assistance
- Needs help in toilet
- Needs help with dressing
- Needs maximal assistance
- Needs moderate assistance
- No caregiver
- No caregiver though not alone
- No help available
- No help available from lay caregiver
- Nursing assistance required
- Personal care disability
- Personal care handicap
- Personal care impairment
- Personal hygiene finding
- Personal hygiene finding
- Relatives involved with care
- Relatives involved with care
- Relatives unable to care for patient
- Requires assistance with all daily activities
- Self-bathing/hygiene deficit
- Spouse unable to care for patient
- Toilet dependency
- Unable to apply own make-up
- Unable to cut own fingernails
- Unable to cut own nails
- Unable to cut own toenails
- Unable to perform haircare activities
- Unable to perform nail care activities
- Unable to perform personal care activity
- Unable to perform personal grooming activity
- Unable to put on own wig
- Unable to shave
- Unable to use toiletries
- Unable to wash own hair
Clinical Classification
Clinical Category is Other specified status
- CCSR Category Code: FAC025
- Inpatient Default CCSR: X - Not applicable.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Dependence (on) (syndrome) - F19.20
- - on
- - care provider (because of) - Z74.9
- - need for
- - assistance with personal care - Z74.1
- - need for
- - care provider (because of) - Z74.9
- - on
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:
- Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
Convert Z74.1 to ICD-9-CM
- ICD-9-CM Code: V60.89 - Housing/econo circum NEC
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.