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.

Check Z91.410 with the rest of the claim: free scrubber

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)

Excludes2 inherited from the categories above Z91.410

Not part of this code, but both may be coded when both are present.

Written on Z91.41: Personal history of adult abuse

personal history of abuse in childhood (Z62.81-)

Written on Z91: Personal risk factors, not elsewhere classified

contact with and (suspected) exposures hazardous to health (Z77.-)
exposure to pollution and other problems related to physical environment (Z77.1-)
female genital mutilation status (N90.81-)
occupational exposure to risk factors (Z57.-)
personal history of physical injury and trauma (Z87.81, Z87.82-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z91.410 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57130Billing and Coding: Psychiatric Codes

Alphabetic index entries that lead here

History›personal›abuse›adult›physical and sexual

Code history

Unchanged in every release from FY2024 to FY2027.