Z74.2 Need for assistance at home and no other household member able to render 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)

• V60.4 No other household member able to render care (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 Z74.2

Back-references to Z74.2

• Type 1 Excludes: Z75.0 Medical services not available in home ("no other household member able to render care (Z74.2)")

Back-references to Z74

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

Diagnosis Index entries for Z74.2

• Care (of) (for) (following) › family member (handicapped) (sick) › unavailable, due to › absence (person rendering care) (sufferer)
• Care (of) (for) (following) › family member (handicapped) (sick) › unavailable, due to › inability (any reason) of person rendering care
• Care (of) (for) (following) › unavailable, due to › absence of person rendering care
• Care (of) (for) (following) › unavailable, due to › inability (any reason) of person rendering care
• Dependence (on) (syndrome) › on › care provider (because of) › no other household member able to render care
• Inadequate, inadequacy › household care, due to › family member › handicapped or ill
• Inadequate, inadequacy › household care, due to › family member › temporarily away from home
• Inadequate, inadequacy › household care, due to › temporary absence from home of person rendering care
• Lack of › care › in home
• Lack of › person able to render necessary care
• Living alone (problems with) › with handicapped person
• Need (for) › care provider because (of) › no other household member able to render care
• Person (with) › living (in) › without › person able to render necessary 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
• Z74.2 Need for assistance at home and no other household member able to render care (this code)
• Z74.3 Need for continuous supervision
• Z74.8 Other problems related to care provider dependency
• Z74.9 Problem related to care provider dependency, unspecified