Y07.6
BillableMultiple perpetrators of maltreatment and neglect
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Y07.6 an HCC code?
No. Y07.6 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
Y07.6 is the ICD-10-CM diagnosis code for multiple perpetrators of maltreatment and neglect. Maltreatment or neglect that was perpetrated by more than one person acting together. Y07.6 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering assault (x92-y09).
Y07.6 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 when documentation clearly indicates multiple perpetrators were involved in the maltreatment.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Y07.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code when documentation clearly indicates multiple perpetrators were involved in the maltreatment
- •Do not use if perpetrators acted separately or at different times