Y07.529
BillableUnspecified 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 Y07.529 an HCC code?
No. Y07.529 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
Y07.529 is the ICD-10-CM diagnosis code for unspecified healthcare provider, perpetrator of maltreatment and neglect. Maltreatment or neglect by a healthcare provider when the specific type of provider cannot be determined or is not specified. Y07.529 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering assault (x92-y09).
Y07.529 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 a healthcare provider is confirmed as the perpetrator but the specific type cannot be identified.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y07.529 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.