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T74.32XA

T74.32XA: Child psychological abuse, confirmed, initial encounter

Billable / specific codeICD-10-CM

T74.32XA is a billable, specific ICD-10-CM code for child psychological abuse, confirmed, initial encounter. It is valid for submission on a claim.

Check T74.32XA with the rest of the claim: free scrubber

7th 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 T74.32XA

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.-)

Other codes that can never be billed with T74.32XA

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • 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.

Medicare coverage

T74.32XA is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
  • A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
  • A57130Billing and Coding: Psychiatric Codes
  • A57780Billing and Coding: Psychological and Neuropsychological Tests

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under T74.32

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.