2017/18 ICD-10-CM Diagnosis Code Z04.72

Encounter for examination and observation following alleged child physical abuse

ICD-10-CM Coding Rules
Applicable To
  • Suspected child physical abuse, ruled out
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z04.72. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • confirmed case of child physical abuse (
    ICD-10-CM Diagnosis Code T74
    • T74 Adult and child abuse, neglect and other malt...
      • T74.0 Neglect or abandonment, confirmed
        • T74.01 Adult neglect or abandonment, confirmed
          • T74.01XA Adult neglect or abandonment, confirmed, init...
          • T74.01XD Adult neglect or abandonment, confirmed, subs...
          • T74.01XS Adult neglect or abandonment, confirmed, sequ...
        • T74.02 Child neglect or abandonment, confirmed
          • T74.02XA Child neglect or abandonment, confirmed, init...
          • T74.02XD Child neglect or abandonment, confirmed, subs...
          • T74.02XS Child neglect or abandonment, confirmed, sequ...
      • T74.1 Physical abuse, confirmed
        • T74.11 Adult physical abuse, confirmed
          • T74.11XA Adult physical abuse, confirmed, initial enco...
          • T74.11XD Adult physical abuse, confirmed, subsequent e...
          • T74.11XS …… sequela
        • T74.12 Child physical abuse, confirmed
          • T74.12XA Child physical abuse, confirmed, initial enco...
          • T74.12XD Child physical abuse, confirmed, subsequent e...
          • T74.12XS …… sequela
      • T74.2 Sexual abuse, confirmed
        • T74.21 Adult sexual abuse, confirmed
          • T74.21XA Adult sexual abuse, confirmed, initial encoun...
          • T74.21XD Adult sexual abuse, confirmed, subsequent enc...
          • T74.21XS …… sequela
        • T74.22 Child sexual abuse, confirmed
          • T74.22XA Child sexual abuse, confirmed, initial encoun...
          • T74.22XD Child sexual abuse, confirmed, subsequent enc...
          • T74.22XS …… sequela
      • T74.3 Psychological abuse, confirmed
        • T74.31 Adult psychological abuse, confirmed
          • T74.31XA Adult psychological abuse, confirmed, initial...
          • T74.31XD Adult psychological abuse, confirmed, subsequ...
          • T74.31XS Adult psychological abuse, confirmed, sequela...
        • T74.32 Child psychological abuse, confirmed
          • T74.32XA Child psychological abuse, confirmed, initial...
          • T74.32XD Child psychological abuse, confirmed, subsequ...
          • T74.32XS Child psychological abuse, confirmed, sequela...
      • T74.4 Shaken infant syndrome
      • T74.9 Unspecified maltreatment, confirmed
        • T74.91 Unspecified adult maltreatment, confirmed
          • T74.91XA Unspecified adult maltreatment, confirmed, in...
          • T74.91XD Unspecified adult maltreatment, confirmed, su...
          • T74.91XS Unspecified adult maltreatment, confirmed, se...
        • T74.92 Unspecified child maltreatment, confirmed
          • T74.92XA Unspecified child maltreatment, confirmed, in...
          • T74.92XD Unspecified child maltreatment, confirmed, su...
          • T74.92XS Unspecified child maltreatment, confirmed, se...
    T74.-
    )
  • encounter for examination and observation following alleged child sexual abuse (
    ICD-10-CM Diagnosis Code Z04.42

    Encounter for examination and observation following alleged child rape

      2016 2017 2018 Billable/Specific Code Pediatric Dx (0-17 years)
    Applicable To
    • Suspected child rape, ruled out
    • Suspected child sexual abuse, ruled out
    Z04.42
    )
  • suspected case of child physical abuse, not ruled out (
    ICD-10-CM Diagnosis Code T76
    • T76 Adult and child abuse, neglect and other malt...
      • T76.0 Neglect or abandonment, suspected
        • T76.01 Adult neglect or abandonment, suspected
          • T76.01XA Adult neglect or abandonment, suspected, init...
          • T76.01XD Adult neglect or abandonment, suspected, subs...
          • T76.01XS Adult neglect or abandonment, suspected, sequ...
        • T76.02 Child neglect or abandonment, suspected
          • T76.02XA Child neglect or abandonment, suspected, init...
          • T76.02XD Child neglect or abandonment, suspected, subs...
          • T76.02XS Child neglect or abandonment, suspected, sequ...
      • T76.1 Physical abuse, suspected
        • T76.11 Adult physical abuse, suspected
          • T76.11XA Adult physical abuse, suspected, initial enco...
          • T76.11XD Adult physical abuse, suspected, subsequent e...
          • T76.11XS …… sequela
        • T76.12 Child physical abuse, suspected
          • T76.12XA Child physical abuse, suspected, initial enco...
          • T76.12XD Child physical abuse, suspected, subsequent e...
          • T76.12XS …… sequela
      • T76.2 Sexual abuse, suspected
        • T76.21 Adult sexual abuse, suspected
          • T76.21XA Adult sexual abuse, suspected, initial encoun...
          • T76.21XD Adult sexual abuse, suspected, subsequent enc...
          • T76.21XS …… sequela
        • T76.22 Child sexual abuse, suspected
          • T76.22XA Child sexual abuse, suspected, initial encoun...
          • T76.22XD Child sexual abuse, suspected, subsequent enc...
          • T76.22XS …… sequela
      • T76.3 Psychological abuse, suspected
        • T76.31 Adult psychological abuse, suspected
          • T76.31XA Adult psychological abuse, suspected, initial...
          • T76.31XD Adult psychological abuse, suspected, subsequ...
          • T76.31XS Adult psychological abuse, suspected, sequela...
        • T76.32 Child psychological abuse, suspected
          • T76.32XA Child psychological abuse, suspected, initial...
          • T76.32XD Child psychological abuse, suspected, subsequ...
          • T76.32XS Child psychological abuse, suspected, sequela...
      • T76.9 Unspecified maltreatment, suspected
        • T76.91 Unspecified adult maltreatment, suspected
          • T76.91XA Unspecified adult maltreatment, suspected, in...
          • T76.91XD Unspecified adult maltreatment, suspected, su...
          • T76.91XS Unspecified adult maltreatment, suspected, se...
        • T76.92 Unspecified child maltreatment, suspected
          • T76.92XA Unspecified child maltreatment, suspected, in...
          • T76.92XD Unspecified child maltreatment, suspected, su...
          • T76.92XS Unspecified child maltreatment, suspected, se...
    T76.-
    )
The following code(s) above Z04.72 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z04.72:
  • Z00-Z99
    2018 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z00-Z13
    2018 ICD-10-CM Range Z00-Z13

    Persons encountering health services for examinations

    Note
    • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
    Type 1 Excludes
    • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
    Persons encountering health services for examinations
  • Z04
    ICD-10-CM Diagnosis Code Z04

    Encounter for examination and observation for other reasons

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • encounter for examination for medicolegal reasons
    • This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled-out. This category is also for use for administrative and legal observation status.
    Encounter for examination and observation for other reasons
Approximate Synonyms ICD-10-CM Z04.72 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert Z04.72 to ICD-9-CM

Code History
Code annotations containing back-references to Z04.72:

Diagnosis Index entries containing back-references to Z04.72:

ICD-10-CM Codes Adjacent To Z04.72
Z04 Encounter for examination and observation for other reasons
Z04.1 Encounter for examination and observation following transport accident
Z04.2 Encounter for examination and observation following work accident
Z04.3 Encounter for examination and observation following other accident
Z04.4 Encounter for examination and observation following alleged rape
Z04.41 Encounter for examination and observation following alleged adult rape
Z04.42 Encounter for examination and observation following alleged child rape
Z04.6 Encounter for general psychiatric examination, requested by authority
Z04.7 Encounter for examination and observation following alleged physical abuse
Z04.71 Encounter for examination and observation following alleged adult physical abuse
Z04.72 Encounter for examination and observation following alleged child physical abuse
Z04.8 Encounter for examination and observation for other specified reasons
Z04.9 Encounter for examination and observation for unspecified reason
Z05 Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out
Z05.0 Observation and evaluation of newborn for suspected cardiac condition ruled out
Z05.1 Observation and evaluation of newborn for suspected infectious condition ruled out
Z05.2 Observation and evaluation of newborn for suspected neurological condition ruled out
Z05.3 Observation and evaluation of newborn for suspected respiratory condition ruled out
Z05.4 Observation and evaluation of newborn for suspected genetic, metabolic or immunologic condition ruled out
Z05.41 Observation and evaluation of newborn for suspected genetic condition ruled out
Z05.42 Observation and evaluation of newborn for suspected metabolic condition ruled out

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.