T74.11XS
T74.11XS: Adult physical abuse, confirmed, sequela
Billable / specific codeICD-10-CMPOA exempt
T74.11XS is a billable, specific ICD-10-CM code for adult physical abuse, confirmed, sequela. It is valid for submission on a claim.
Check T74.11XS with the rest of the claim: free scrubber7th character "S": sequela
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 T74.11XS
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T74.11XS
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with T74.11XS
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
T74.11XS is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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- A56937Billing and Coding: Psychiatry and Psychology Services
- A57068Billing and Coding: Ocular Photography - External
- A57130Billing and Coding: Psychiatric Codes
Code history
Unchanged in every release from FY2024 to FY2027.