ICD-10-CM Diagnosis and ICD-10 Procedure Code

CHILD (<18) AND YOUTH ADULT (15 TO 24, UNITED NATIONS) ATHLETE MALTREATMENT AND ABUSE IS ABBREVIATED CAAS 

• 2019 ICD-10-CM Diagnosis Code Y07.53, 
• “Y07- Perpetrator of assault, maltreatment and neglect 
• “Y07.53 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• “The 2019 edition of ICD-10-CM Y07.53 became effective on October 1, 2018. Applicable To Coach, teacher or instructor, the perpetrator of  maltreatment and neglect describes the circumstance causing an injury
• Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
• [https://www.icd10data.com/ICD10CM/Codes/V00-Y99/X92-Y09/Y07-/Y07.53] 

The 2015 ICD-10 Diagnosis Codes, effective October 1, 2015, (not the 2014 ICD-9 and not previous revised codes), authorize that the Coach can be identified and named as the perpetrator of Child and Youth Adult Athlete Physical and Psychological Endangerment, Maltreatment and Abuse and Sexual Abuse. 

The Coach (teacher, supervisor) now has a reportable, billable, data mine-able ICD-10 Diagnostic Code i.e. Y07.53, which describes the circumstances and the specific perpetrator, precisely the Coach, that caused the incident, injury and/or death (morbidity and mortality) to a Child or Youth Adult Athlete.

The new, broader categories and more specific ICD-10 definitions include codes for both Child and Youth Adult (Athlete), Physical and Psychological Maltreatment, Sexual Abuse and Neglect and Child and Youth Adult (Athlete) Unspecified Maltreatments, when modifier YO7.53 is applied. 

The new definitions include the definition for “Coach Temporary Substitute Caregiver”, the offender, and the circumstances affecting the Athlete victim(s).

The legal Coach-Amateur Athlete relationship is now “crystal clear”. Responsible Coach overseers should hasten to educate and enlighten Coaches, the athletic community and everyone about the Coaches ‘Duty of Care’. 

This research journalist has been attempting to inform everyone for several years for the sake of Athletes, Coaches, (who have been legally blindsided), and everyone concerned, about the inevitable revision of the, heretofore, obscure among definitions.

The new ICD-10 Diagnostic Codes, went into effect October 1, 2015, and are utilized by international doctors and health care personnel for medical diagnoses, procedures, medical charting and billing purposes and are much broader categories, allowing for more specific definitions, than the ICD-9 codes,

 Previously and merely 2015 ICD-10-CM Diagnosis Codes, DEPARTMENT OF HEALTH AND HUMAN SERVICES; Centers for Medicare & Medicaid Services, emphasized and included domestic offenses and victimizations and left much for doctors and health carers interpretations, when providing patient care. Perpetrator codes are now clear and specific.

• References
  [May 2015 YOUTH ATHLETES Sports Programs’ Guidance, Practices, and Policies to Help Prevent and Respond to Sexual Abuse, Report to the Honorable Jackie Speier, House of Representatives]
  [Department of Health and Human Services, Office of the Secretary: Administrative Simplification: Change to the Compliance Date for the International Classification of Diseases, 10th Revision (ICD-10-CM and ICD-10-PCS) Medical Data Code Sets Date to Oct. 1, 2015 following GAO Review GAO-14-839R: Aug 19, 2014]
  [January 2015 INTERNATIONAL CLASSIFICATION OF DISEASES CMS’s Efforts to Prepare for the New Version of the Disease and Procedure Codes, Highlights of GAO-15-255, a report to the Committee on Finance, U.S. Senate]

2015 ICD-10 Diagnosis Codes, effective Oct 1, 2015 Coach was defined as "temporary substitute caregiver" 

the New Child Abuse Code names Coach Y07.53

Y07.53 IS THE NEW ICD-10 DIAGNOSTIC CODE FOR COACH PERPETRATOR. The new, broader categories and more specific ICD-10 definitions include codes for both Child and Youth Adult Abuse which can be used for college, Olympics Amateur Athlete,

• · Physical and Psychological Abuse,
• ·  Sexual Abuse and Neglect
• · Child and Youth Adult (Athlete) Unspecified Maltreatments,
• · when modifier YO7.53 is applied;
• · The Coach, is a "Temporary Substitute Caregiver” of Children and now defined as such in 2015 ICD-10 newly published codes, effective Oct 1, 2015
• · Doctors and Health Care Personnel (HCP) are mandated to report Coaches, when they are offenders, following their diagnoses and treatments for abusive injuries and diagnoses for abusive deaths and sexual abuse.
• · Doctors and HCP risk criminal charges for failure to report and civil malpractice law suits should the same Coach commit further harmful incidents, following the Doctor or HCP unlawful failure to report.
• · When preparing a written report to Child Protective Services (CPS), Department for Community Based Services (DCBS) or County Attorney,
• or medical charting or insurance billing 
• - all data retrievable for investigators and data mining 
• - Many other diagnoses codes exist. The following codes are examples for Modifer Code use and should be listed by Doctors and HCP when reporting signigicant CAAS injuries :

• Diagnosis: Child physical abuse, confirmed, initial encounter = T74.12XA when an Athlete is physically abused.
  Coach Perpetrator Modifier ICD-10 Code is added = T07.53

• Diagnosis: Child Sexual Abuse ICD-10 Diagnostic Code = T74.22XA when an Athlete is sexually abused.
  Coach Perpetrator Modifier ICD-10 Code is added = T07.53

“Coach (Teacher, Instructor) is a Temporary Substitute Caregiver”. The legal Coach-Child/Youth-Amateur-Athlete relationships are now “crystal clear” within the new 2015 ICD-10 definitions. 

Heretofore, the relationship has not been "clear". Responsible Coach overseers and responsible Doctor and HCP organizations should hasten to educate and enlighten Coaches, the athletic community, Doctors, HCP, attorneys, judges and everyone in all systems in crisis for Child Abuse, who have failed in the past, about the duty of Coaches, Doctors and HCP and others to Athletes and the legal Coach-Amateur-Athlete relationship.