T74.11XA
T74.11XA: Adult physical abuse, confirmed, initial encounter
Billable / specific codeICD-10-CM
T74.11XA is a billable, specific ICD-10-CM code for adult physical abuse, confirmed, initial encounter. It is valid for submission on a claim.
Check T74.11XA with the rest of the claim: free scrubber7th character "A": initial encounter
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 T74.11XA
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T74.11XA
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with T74.11XA
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T74.11XA is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
- A57130Billing and Coding: Psychiatric Codes
Code history
Unchanged in every release from FY2024 to FY2027.