T74.1
T74.1: Physical abuse, confirmed
Non-billable headerICD-10-CM
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
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z91.410Personal history of adult physical and sexual abuse
- 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
- T76Adult and child abuse, neglect and other maltreatment, suspected
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 T74.1
2 child codes. Green means billable.