At-home childcare provider, perp of maltreat and neglect

This code identifies a situation where a child has experienced maltreatment or neglect, and the individual responsible for these actions is an at-home childcare provider. This includes nannies, babysitters, or other non-relative caregivers who provide care within the child's home or their own home.

Apply this code when documentation clearly indicates that an at-home childcare provider is the perpetrator of abuse (physical, sexual, emotional) or neglect (e.g., medical, educational, supervisory) against a child. This code is typically used in conjunction with codes describing the specific type of maltreatment and the child's injuries or conditions resulting from it.

• Always sequence this code after the primary diagnosis code describing the specific type of child maltreatment or neglect.
• Ensure documentation explicitly identifies the perpetrator as an "at-home childcare provider" to support the use of this specific code.
• Do not use this code if the perpetrator is a relative, institutional caregiver, or an unknown individual.