Y07.528
BillableOther therapist or healthcare 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 Y07.528 an HCC code?
No. Y07.528 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
Y07.528 is the ICD-10-CM diagnosis code for other therapist or healthcare provider, perpetrator of maltreatment and neglect. Maltreatment or neglect by a healthcare provider or therapist not classified as a mental health provider, such as a physical therapist, nurse, or physician. Y07.528 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering assault (x92-y09).
Y07.528 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 non-mental health healthcare providers and therapists.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y07.528 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code for non-mental health healthcare providers and therapists
- •Document the specific type of healthcare provider or therapy profession when available