Problems related to care provider dependency (Z74)
ICD-10 code Z74 and its subcategories are used to document conditions involving dependency on care providers due to reduced mobility or the need for assistance with daily activities. These codes capture situations where patients cannot independently manage personal care or require continuous supervision.
The main code, Z74, identifies general problems related to dependence on caregivers. Subcodes specify particular types of dependency: Z74.0 refers to reduced mobility, including bed confinement (Z74.01, also known as bed-ridden or impaired mobility). Z74.09 covers other forms of mobility reduction, such as needing walking aids or being confined to a chair. Codes like Z74.1 document the need for personal care assistance, covering everyday tasks such as bathing, dressing, or grooming that a patient cannot perform alone. When no household member can provide care, Z74.2 is applicable. Continuous supervision needs are coded as Z74.3. Other issues, like caregiver inability or unwillingness, fall under Z74.8. If the dependency is unspecified, Z74.9 is used. These codes help healthcare professionals and medical coders accurately represent a patient’s care needs and support requirements in clinical records.
Factors influencing health status and contact with health services (Z00–Z99)
Persons encountering health services in other circumstances (Z69-Z76)
Z74 Problems related to care provider dependency
Z74.0 Reduced mobility
- Z74.01 Bed confinement status
- Z74.09 Other reduced mobility
- Z74.1 Need for assistance with personal care
- Z74.2 Need for assistance at home and no other household member able to render care
- Z74.3 Need for continuous supervision
- Z74.8 Other problems related to care provider dependency
- Z74.9 Problem related to care provider dependency, unspecified
Problems related to care provider dependency (Z74)
Instructional Notations
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- dependence on enabling machines or devices NEC Z99
