ICD-10-CM Code Y07.499

Other family member, perpetrator of maltreatment and neglect

Version 2020 Billable Code POA Exempt

Valid for Submission

Y07.499 is a billable code used to specify a medical diagnosis of other family member, perpetrator of maltreatment and neglect. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Y07.499 might also be used to specify conditions or terms like abuse by relative of victim, abuse by sibling, child concubinage, child sex abuse, child sex abuse, contact sexual abuse of child, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

Short Description:Other family member, perpetrator of maltreatment and neglect
Long Description:Other family member, perpetrator of maltreatment and neglect

Index of External Cause of Injuries

References found for the code Y07.499 in the External Cause of Injuries Index:

    • Perpetrator, perpetration, of assault, maltreatment and neglect(by)
      • family member NEC


The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abuse by relative of victim
  • Abuse by sibling
  • Child concubinage
  • Child sex abuse
  • Child sex abuse
  • Contact sexual abuse of child
  • Domestic abuse
  • Domestic abuse
  • Domestic abuse of adult
  • Domestic sexual abuse
  • Domestic sexual abuse of adult
  • Domestic violence
  • Incest
  • Incestuous child concubinage
  • Intrafamilial sexual abuse
  • Psychologically abused parent
  • Sexual abuse of adult
  • Victim of mental abuse
  • Victim of sexual aggression
  • Victim of sexual assault by member of household

Present on Admission (POA)

Y07.499 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Y07.499 to ICD-9

  • E967.7 - Batter by other relative (Approximate Flag)
  • E968.4 - Assault-criminal neglect (Approximate Flag)

Code Classification

  • External causes of morbidity and mortality (V01–Y98)
    • Assault (X92-Y09)
      • Perpetrator of assault, maltreatment and neglect (Y07)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients

Child Abuse

Child abuse is doing something or failing to do something that results in harm to a child or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse.

Most abused children suffer greater emotional than physical damage. An abused child may become depressed. He or she may withdraw, think of suicide or become violent. An older child may use drugs or alcohol, try to run away or abuse others.

Child abuse is a serious problem. If you suspect a child is being abused or neglected, call the police or your local child welfare agency.

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