Grandparent, perpetrator of maltreatment and neglect

This diagnosis code identifies instances where a grandparent is the individual responsible for the abuse or neglect of a child. It signifies that the maltreatment, whether physical, emotional, sexual, or neglectful, has been perpetrated by the child's grandparent.

Apply this code when documentation clearly indicates that a grandparent is the identified perpetrator in cases of child abuse or neglect. This is used in conjunction with codes detailing the specific type of maltreatment (e.g., T74.A1XA for confirmed child physical abuse).

• Always sequence this code after the primary code describing the specific type of child maltreatment.
• Ensure the medical record explicitly names the grandparent as the perpetrator.
• Do not use if the perpetrator's relationship to the child is unknown or is not a grandparent.