Z91.412

Z91.412: Personal history of adult neglect

Billable / specific codeICD-10-CMPOA exempt

Z91.412 is a billable, specific ICD-10-CM code for personal history of adult neglect. It is valid for submission on a claim.

Check Z91.412 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 neglect (T74.01, T76.01)

Excludes2 inherited from the categories above Z91.412

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

Z91.412 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

Neglect›adult›history of
History›personal›neglect›adult

Code history

Unchanged in every release from FY2024 to FY2027.