T74

T74: Adult and child abuse, neglect and other maltreatment, confirmed

Non-billable headerICD-10-CM

T74 is a non-billable header ICD-10-CM code for adult and child abuse, neglect and other maltreatment, confirmed. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category T74

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
adult and child maltreatment, suspected (T76.-)

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, to identify any associated current injury
external cause code to identify perpetrator, if known (Y07.-)

Other codes that can never be billed with T74

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z91.410Personal history of adult physical and sexual abuse
Z91.412Personal history of adult neglect
Z04.71Encounter for examination and observation following alleged adult physical abuse
Z04.72Encounter for examination and observation following alleged child physical abuse
Z62.810Personal history of physical and sexual abuse in childhood
Z62.811Personal history of psychological abuse in childhood
Z62.812Personal history of neglect in childhood
Z62.814Personal history of child financial abuse

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T74

9 child codes. Green means billable.