Z74.1 Need for assistance with personal care

Billable ICD-10-CM code, FY2026.

Applies from Z74 Problems related to care provider dependency

Excludes2 (not included here)

• dependence on enabling machines or devices NEC (Z99.-)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V60.89 Other specified housing or economic circumstances (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z74.1

Back-references to Z74

• Type 1 Excludes: Z73.6 Limitation of activities due to disability ("care-provider dependency (Z74.-)")

Diagnosis Index entries for Z74.1

• Dependence (on) (syndrome) › on › care provider (because of) › need for › assistance with personal care
• Need (for) › care provider because (of) › assistance with personal care

Nearby codes

• Z74 Problems related to care provider dependency
• Z74.0 Reduced mobility
• Z74.01 Bed confinement status
• Z74.09 Other reduced mobility
• Z74.1 Need for assistance with personal care (this code)
• Z74.2 Need for assistance at home and no other household member able to render care
• Z74.3 Need for continuous supervision
• Z74.8 Other problems related to care provider dependency
• Z74.9 Problem related to care provider dependency, unspecified