T74.12XS: Child physical abuse, confirmed, sequela
T74.12XS is a billable, specific ICD-10-CM code for child physical abuse, confirmed, sequela. It is valid for submission on a claim.
Check T74.12XS 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
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.
- shaken infant syndrome (T74.4)
Excludes1 inherited from the categories above T74.12XS
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T74.12XS
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with T74.12XS
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
T74.12XS is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56612Billing and Coding: CT of the Head
- A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
- A56937Billing and Coding: Psychiatry and Psychology Services
Code history
Unchanged in every release from FY2024 to FY2027.