Is Z91.410 a billable ICD-10-CM code?

Yes. Z91.410 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z91.410 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

What cannot be coded together with Z91.410?

Z91.410 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Z91.410

Z91.410 — Personal history of adult physical and sexual abuse

Billable / specific codeICD-10-CMPOA exempt

Z91.410 is a billable, specific ICD-10-CM code for personal history of adult physical and sexual 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.

current adult physical abuse (T74.11, T76.11)
current adult sexual abuse (T74.21, T76.11)

Risk adjustment

Z91.410 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

Z91.410 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 Z91.410 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 Z91.410.

History›personal›abuse›adult›physical and sexual

Related codes at this level

Codes that share Z91.41. If Z91.410 is not quite right, the correct code is usually one of these.

Questions about Z91.410

Is Z91.410 a billable ICD-10-CM code?: Yes. Z91.410 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z91.410 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
What cannot be coded together with Z91.410?: Z91.410 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.