2026 ICD-10-CM Diagnosis Code Z74.1Need for assistance with personal care

ICD-10-CM Codes›Z00–Z99›Z69-Z76›Z74

ICD-10-CM Z74.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z74.1 is a billable ICD-10-CM diagnosis code for need for assistance with personal care. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.

Code Identity

ICD-10-CM Code
Z74.1
Billable Status
Yes — Valid for Submission
Code Describes
Need for assistance with personal care
Short Description
Need for assistance with personal care
Same as the full description in the CMS dataset.
Parent Code
Z74
Problems related to care provider dependency

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ69-Z76Persons encountering health services in other circumstances
CategoryZ74Problems related to care provider dependency
This CodeZ74.1Need for assistance with personal care

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z74.1.

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.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this 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 assisted
  • Continence dependent
  • Co-operates with dressing
  • Dependent for bathing
  • Dependent for dressing
  • Dependent for personal grooming
  • Dependent for personal hygiene activity
  • 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 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 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 toenails
  • Finding related to ability to put on own wig
  • Finding related to ability to shave
  • 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 assistance with shaving
  • Needs help in toilet
  • Needs help with dressing
  • Needs help with managing medication
  • Needs help with performing mouthcare activities
  • Needs help with personal grooming
  • Needs help with washing self
  • Needs maximal assistance
  • Needs moderate assistance
  • 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
  • Requires assistance with all daily activities
  • Self-bathing/hygiene deficit
  • 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

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Dependence(on) (syndrome)
      • on
        • care provider (because of)
          • need for
            • assistance with personal care
    • Need(for)
      • care provider because (of)
        • assistance with personal care

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC025
Other specified status
Default principal diagnosis: inpatient No · outpatient Yes

Convert Z74.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V60.89 Housing/econo circum NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z74.1Overview

Is Z74.1 (Problems related to care provider dependency) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report need for assistance with personal care on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z74.1 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because need for assistance with personal care describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

What is the ICD-9 equivalent of Z74.1?

Under the General Equivalence Mappings, need for assistance with personal care converts to ICD-9-CM V60.89 (housing/econo circum NEC). The mapping is approximate, so confirm the match fits the documentation.