2026 ICD-10-CM Diagnosis Code Z74.2Need for assistance at home and no other household member able to render care

ICD-10-CM Codes›Z00–Z99›Z69-Z76›Z74

ICD-10-CM Z74.2
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z74.2 is a billable ICD-10-CM diagnosis code for need for assistance at home and no other household member able to render 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. Coders also document this condition as finding related to provision of home help. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.

Code Identity

ICD-10-CM Code
Z74.2
Billable Status
Yes — Valid for Submission
Code Describes
Need for assistance at home and no other household member able to render care
Short Description
Need for assist at home & no house memb able to render care
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 CodeZ74.2Need for assistance at home and no other household member able to render care

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z74.2.

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.

  • Finding related to provision of home help
  • Home help needed
  • Home help requested
  • Needs assistance at home
  • No able caregiver in household
  • No help available
  • No one at home to receive patient

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.

    • Care(of) (for) (following)
      • family member (handicapped) (sick)
        • unavailable, due to
          • absence (person rendering care) (sufferer)
    • Care(of) (for) (following)
      • family member (handicapped) (sick)
        • unavailable, due to
          • inability (any reason) of person rendering care
    • Care(of) (for) (following)
      • unavailable, due to
        • absence of person rendering care
    • Care(of) (for) (following)
      • unavailable, due to
        • inability (any reason) of person rendering care
    • Dependence(on) (syndrome)
      • on
        • care provider (because of)
          • no other household member able to render care
    • Inadequate, inadequacy
      • household care, due to
        • family member
          • handicapped or ill
    • Inadequate, inadequacy
      • household care, due to
        • family member
          • temporarily away from home
    • Inadequate, inadequacy
      • household care, due to
        • temporary absence from home of person rendering care
    • Lack of
      • care
        • in home
    • Lack of
      • person able to render necessary care
    • Living alone(problems with)
      • with handicapped person
    • Need(for)
      • care provider because (of)
        • no other household member able to render care
    • Person(with)
      • living (in)
        • without
          • person able to render necessary 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 Z74.2 to ICD-9-CMHistory

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

ICD-9-CM
V60.4 No family able to care
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 Z74.2Overview

Is Z74.2 (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 at home and no other household member able to render care on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z74.2 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because need for assistance at home and no other household member able to render 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 Z74.2?

Under the General Equivalence Mappings, need for assistance at home and no other household member able to render care converts to ICD-9-CM V60.4 (no family able to care). The mapping is approximate, so confirm the match fits the documentation.