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Z04.42

Z04.42: Encounter for examination and observation following alleged child rape

Billable / specific codeICD-10-CM

Z04.42 is a billable, specific ICD-10-CM code for encounter for examination and observation following alleged child rape. It is valid for submission on a claim.

Check Z04.42 with the rest of the claim: free scrubber

Inclusion terms

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

  • Suspected child rape, ruled out
  • Suspected child sexual abuse, ruled out

Other codes that can never be billed with Z04.42

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

  • 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.

Alphabetic index entries that lead here

  • Examination›alleged rape or sexual assault, ruled out›child
  • Observation›alleged rape or sexual assault, ruled out›child
  • Rape›alleged, observation or examination, ruled out›child

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z04.4

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.