Z04.4

Z04.4: Encounter for examination and observation following alleged rape

Non-billable headerICD-10-CM

Z04.4 is a non-billable header ICD-10-CM code for encounter for examination and observation following alleged rape. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Encounter for examination and observation of victim following alleged rape
Encounter for examination and observation of victim following alleged sexual abuse

Other codes that can never be billed with Z04.4

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.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z04.4

2 child codes. Green means billable.