Is Z69.011 a billable ICD-10-CM code?

Yes. Z69.011 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z69.011 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in other circumstances (Z69-Z76).

What cannot be coded together with Z69.011?

Z69.011 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z69.011

Z69.011 — Encounter for mental health services for perpetrator of parental child abuse

Billable / specific codeICD-10-CMPOA exempt

Z69.011 is a billable, specific ICD-10-CM code for encounter for mental health services for perpetrator of parental child abuse. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

encounter for mental health services for non-parental child abuse (Z69.02-)

Inclusion terms

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

Encounter for mental health services for perpetrator of parental child neglect
Encounter for mental health services for perpetrator of parental child psychological abuse
Encounter for mental health services for perpetrator of parental child sexual abuse

Risk adjustment

Z69.011 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z69.011 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57130Billing and Coding: Psychiatric Codes

How Z69.011 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z69.011.

Counseling›child abuse›parental›perpetrator
Counseling›perpetrator›child abuse›parental
Encounter›mental health services›child abuse›parental›perpetrator
Encounter›mental health services›child neglect›parental›perpetrator
Encounter›mental health services›child psychological abuse›parental›perpetrator
Encounter›mental health services›child sexual abuse›parental›perpetrator

Related codes at this level

Codes that share Z69.01. If Z69.011 is not quite right, the correct code is usually one of these.

Z69.010Encounter for mental health services for victim of parental child abuse

Questions about Z69.011

Is Z69.011 a billable ICD-10-CM code?: Yes. Z69.011 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z69.011 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in other circumstances (Z69-Z76).
What cannot be coded together with Z69.011?: Z69.011 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.