T74.1 — Physical abuse, confirmed
T74.1 is a non-billable header ICD-10-CM code for physical abuse, 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
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- sexual abuse (T74.2-)
Other codes that can never be billed with T74.1
These codes carry an Excludes1 note pointing at T74.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T74.1 alone.
Risk adjustment
T74.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead T74.1
2 child codes. Green means billable.
Related codes at this level
Codes that share T74. If T74.1 is not quite right, the correct code is usually one of these.
Questions about T74.1
- Is T74.1 a billable ICD-10-CM code?
- No. T74.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T74.1 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Other and unspecified effects of external causes (T66-T78).