Y07.512
BillableAt-home adultcare provider, 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 Y07.512 an HCC code?
No. Y07.512 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
Y07.512 is the ICD-10-CM diagnosis code for at-home adultcare provider, perpetrator of maltreatment and neglect. Maltreatment or neglect by an adult care provider who works in the victim's home, such as a home health aide or in-home caregiver for elderly or disabled adults. Y07.512 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering assault (x92-y09).
Y07.512 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.
Apply this code to adult victims receiving in-home care services, distinguishing from facility-based adult care.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y07.512 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Apply this code to adult victims receiving in-home care services, distinguishing from facility-based adult care
- •Document the victim's age and the nature of care services being provided