All ICD10 Codes
T74Not billable, use a more specific code below

Adult and child abuse, neglect and other maltreatment, confirmed

In Other and unspecified effects of external causes (T66-T78), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes

51 billable codes under T74: 14 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Advertisements

Instructional notes

Excludes1: not coded here, use a different code

  • abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
  • adult and child maltreatment, suspected (T76.-)

Use additional code: add a second code for this, listed after this one

  • code, if applicable, to identify any associated current injury
  • external cause code to identify perpetrator, if known (Y07.-)

Also applies, from Other and unspecified effects of external causes (T66-T78)

These notes sit on T66-T78 and apply to every code under it, including T74.

Code also: add a code for this too, order depends on the encounter

  • if applicable, place of occurrence, such as:
  • highway rest stop (Y92.523)
  • school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
  • service areas as the place of occurrence of the external cause (Y92.52-)
  • single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
  • transport vehicle as the place of occurrence of the external cause (Y92.81-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Other Chapter 19 topics:

Read Section I.C.19 (page 77)

All codes under T74

T74 can't be used on a claim. Pick a billable code below; grey headings group them.

T74 MS-DRGs

As the principal diagnosis, the billable codes under T74 group to MS-DRG 922, 923, 949, or 950 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to T74

Notes on these codes point to T74.

  • F94.1 Excludes2: maltreatment syndromes (T74.-)
  • O9A.2 Includes: Conditions in S00-T88, except T74 and T76
  • T76 Excludes1: adult and child maltreatment, confirmed (T74.-)
  • Z04.71 Excludes1: confirmed case of adult physical abuse (T74.-)
  • Z04.72 Excludes1: confirmed case of child physical abuse (T74.-)
  • Z62 Excludes2: maltreatment syndrome (T74.-)
  • Z62.815 Excludes2: adult and child abuse, neglect and other maltreatment, confirmed (T74.-)
  • Z63 Excludes2: maltreatment syndrome (T74.-, T76)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Child Abuse

Child abuse is doing something or failing to do something that results in harm to a child or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse.

Read more about child abuse on MedlinePlus

Elder Abuse

Many older people are victims of elder abuse. It is the mistreatment of an older person, usually by a caregiver. It can happen within the family. It can also happen in assisted living facilities or nursing homes.

Read more about elder abuse on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.