Z04.72
Z04.72: Encounter for examination and observation following alleged child physical abuse
Billable / specific codeICD-10-CM
Z04.72 is a billable, specific ICD-10-CM code for encounter for examination and observation following alleged child physical abuse. It is valid for submission on a claim.
Check Z04.72 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Suspected child physical abuse, ruled out
Other codes that can never be billed with Z04.72
Their own Excludes1 notes name this code, so the conflict is not listed above.
- 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
Z04.72 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56551Billing and Coding: Visual Fields Testing
- A56799Billing and Coding: Visual Fields Testing
Alphabetic index entries that lead here
- Examination›abuse, physical, ruled out›child
- Observation›suspected, ruled out›child battering victim
- Examination›following›assault, alleged, ruled out›child
- Observation›suspected, ruled out›abuse, physical›child
Code history
Unchanged in every release from FY2024 to FY2027.