T74.11

T74.11: Adult physical abuse, confirmed

Non-billable headerICD-10-CM

T74.11 is a non-billable header ICD-10-CM code for adult 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

Excludes1 inherited from the categories above T74.11

A category’s note binds every code beneath it.

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

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

Excludes2 inherited from the categories above T74.11

Not part of this code, but both may be coded when both are present.

Written on T74.1: Physical abuse, confirmed

sexual abuse (T74.2-)

Other codes that can never be billed with T74.11

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
T76Adult and child abuse, neglect and other maltreatment, suspected

Risk adjustment

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

Alphabetic index entries that lead here

Maltreatment›adult›physical abuse›confirmed

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T74.11

3 child codes. Green means billable.

Other codes under T74.1

T74.12Child physical abuse, confirmed