Y07.519
BillableUnspecified daycare 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 Y07.519 an HCC code?
No. Y07.519 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
Y07.519 is the ICD-10-CM diagnosis code for unspecified daycare provider, perpetrator of maltreatment and neglect. Maltreatment or neglect by a daycare provider when the specific type of daycare setting (at-home or center-based) cannot be determined or is unspecified. Y07.519 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering assault (x92-y09).
Y07.519 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 only when the perpetrator is confirmed as a daycare provider but the setting type is not documented.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y07.519 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use only when the perpetrator is confirmed as a daycare provider but the setting type is not documented
- •Query the provider or medical record for clarification on whether care was provided at home or in a facility