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Z74.3

Billable

Need for continuous supervision

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A person requires constant monitoring or supervision due to their medical or behavioral condition and cannot be left alone safely.

Coding Tips

  • Document the specific reason for continuous supervision (e.g., dementia, behavioral issues, medical instability)
  • This code indicates a higher level of care need than Z74.2 and should reflect the necessity for 24/7 oversight

Code Hierarchy

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