ICD-10-CM Code Z74.1

Need for assistance with personal care

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z74.1 is a billable code used to specify a medical diagnosis of need for assistance with personal care. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z74.1 might also be used to specify conditions or terms like bathing assisted, bathing disability, cared for by family, cared for by night nurse, cared for by spouse, caregiver not readily available, etc

The code Z74.1 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.

ICD-10:Z74.1
Short Description:Need for assistance with personal care
Long Description:Need for assistance with personal care

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z74.1 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 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.

Synonyms

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

  • Bathing assisted
  • Bathing disability
  • Cared for by family
  • Cared for by night nurse
  • 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 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 disability
  • 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 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
  • 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

Convert Z74.1 to ICD-9

  • V60.89 - Housing/econo circum NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in other circumstances (Z69-Z76)
      • Problems related to care provider dependency (Z74)

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