ICD-10-CM Code Y07.528

Other therapist or healthcare provider, perpetrator of maltreatment and neglect

Version 2020 Billable Code POA Exempt

Valid for Submission

Y07.528 is a billable code used to specify a medical diagnosis of other therapist or healthcare provider, perpetrator of maltreatment and neglect. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Y07.528
Short Description:Oth therapist or healthcare prov, perp of maltreat & neglect
Long Description:Other therapist or healthcare provider, perpetrator of maltreatment and neglect

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Y07.528:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Nurse perpetrator of maltreatment and neglect
  • Occupational therapist perpetrator of maltreatment and neglect
  • Physical therapist perpetrator of maltreatment and neglect
  • Speech therapist perpetrator of maltreatment and neglect

Index of External Cause of Injuries

References found for the code Y07.528 in the External Cause of Injuries Index:

    • Perpetrator, perpetration, of assault, maltreatment and neglect(by)
      • healthcare provider
        • specified NEC
    • Perpetrator, perpetration, of assault, maltreatment and neglect(by)
      • nurse
    • Perpetrator, perpetration, of assault, maltreatment and neglect(by)
      • occupational therapist
    • Perpetrator, perpetration, of assault, maltreatment and neglect(by)
      • physical therapist
    • Perpetrator, perpetration, of assault, maltreatment and neglect(by)
      • speech therapist

Present on Admission (POA)

Y07.528 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 Y07.528 to ICD-9

  • E967.8 - Batter by non-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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Elder Abuse

Many older people are victims of elder abuse. It is the mistreatment of an older person, usually by a caregiver. It can happen within the family. It can also happen in assisted living facilities or nursing homes.

The mistreatment may be

  • Physical, sexual, or emotional abuse
  • Neglect or abandonment
  • Financial abuse - stealing of money or belongings

Possible signs of elder abuse include unexplained bruises, burns, and injuries. There may also be bed sores and poor hygiene. The person may become withdrawn, agitated, and depressed. There may be a sudden change in the person's financial situation.

Elder abuse will not stop on its own. Someone else needs to step in and help. If you think that an older person is in urgent danger, call 911. Otherwise, contact adult protective services.

NIH: National Institute on Aging


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