Z04.72

Billable
ChapterZ00–Z99
Ranksubcategory
Official Description

Encounter for examination and observation following alleged child physical abuse

Metadata & Insights
  • •2026 ICD-10-CM Edition - Effective October 1, 2025.
  • •Billable/specific code (valid for reimbursement).
  • •Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Instructional Notes

Includes
  • Suspected child physical abuse, ruled out
Excludes1(Not coded here)
  • confirmed case of child physical abuse (T74.-)
  • encounter for examination and observation following alleged child sexual abuse (Z04.42)
  • suspected case of child physical abuse, not ruled out (T76.-)
General instructions are available for the parent sections:
View Z00-Z13 NotesView Z04 Notes

Clinical Hierarchy

CH21Factors influencing health status and contact with health services (Z00-Z99)
Z00-Z13Persons encountering health services for examinations (Z00-Z13)
Z04Encounter for examination and observation for other reasons
Z04.7Encounter for examination and observation following alleged physical abuse
Z04.72Encounter for examination and observation following alleged child physical abuse

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Z04.72:

categoryZ04
Encounter for examination and observation for other reasons
View context instructions
blockZ00-Z13
Persons encountering health services for examinations (Z00-Z13)
View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to Z04.72. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

4 raw paths
Examination (for) (following) (general) (of) (routine)2 unique routes
abuse, physical (alleged), ruled out
child→Z04.72
following
assault, alleged, ruled out
child→Z04.72
Observation (following) (for) (without need for further medical care)2 unique routes
suspected, ruled out(2 variants)
abuse, physical
child→Z04.72
child battering victim→Z04.72

MS-DRG Classification

2026 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

DRG 951
Other Factors Influencing Health Status

Cross Reference

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