Parental sibling, perpetrator of maltreatment and neglect

This code identifies a situation where a child has experienced maltreatment or neglect, and the individual responsible for these actions is their biological or adoptive sibling. It specifically points to a parental sibling, meaning a sibling who is also a parent to the victim, or a sibling of a parent. This code is used to indicate the perpetrator's relationship to the victim in cases of abuse or neglect.

This code is appropriate when documentation clearly indicates that a parental sibling is the perpetrator of confirmed or suspected child maltreatment or neglect. It should be assigned as an external cause code to provide additional context regarding the circumstances of the injury or condition. This code is typically used in conjunction with codes describing the specific type of maltreatment (e.g., physical abuse, neglect).

• Always assign this code as a secondary diagnosis following the primary diagnosis describing the nature of the maltreatment or neglect.
• Ensure documentation explicitly identifies the perpetrator as a parental sibling of the victim.
• Do not use this code if the perpetrator is a non-parental sibling; other codes exist for different perpetrator relationships.