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.
7th 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
Risk adjustment
T74.11XS 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.
Medicare coverage
T74.11XS is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56612Billing and Coding: CT of the Head
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57068Billing and Coding: Ocular Photography - External
- A57130Billing and Coding: Psychiatric Codes
Related codes at this level
Codes that share T74.11. If T74.11XS is not quite right, the correct code is usually one of these.
Questions about T74.11XS
- Is T74.11XS a billable ICD-10-CM code?
- Yes. T74.11XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T74.11XS 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).