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Y07.430

Billable

Stepfather, perpetrator of maltreatment and neglect

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is Y07.430 an HCC code?

No. Y07.430 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Y07.430 is the ICD-10-CM diagnosis code for stepfather, perpetrator of maltreatment and neglect. A stepfather who has perpetrated maltreatment or neglect of a child or dependent person. Y07.430 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering assault (x92-y09).

Y07.430 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code for step-parent relationships; distinguish from biological, adoptive, or foster father.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y07.430 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for step-parent relationships; distinguish from biological, adoptive, or foster father
  • Must be paired with a primary abuse or neglect diagnosis code

Code Hierarchy

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