2019/2020

  1. ICD-10-CM Codes
    2. ›
  2. S00-T88 Injury, poisoning and certain other consequences of external causes
    3. ›
  3. T66-T78 Other and unspecified effects of external causes
    4. ›
  4. T74- Adult and child abuse, neglect and other maltreatment, confirmed
    5. ›

2020 ICD-10-CM Diagnosis Code T74.11XS

Adult physical abuse, confirmed, sequela

    2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
  • T74.11XS is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM T74.11XS became effective on October 1, 2019.
  • This is the American ICD-10-CM version of T74.11XS - other international versions of ICD-10 T74.11XS may differ.
ICD-10-CM Coding Rules
  • T74.11XS is applicable to adult patients aged 15 - 124 years inclusive.
The following code(s) above T74.11XS 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 T74.11XS:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • T74
    ICD-10-CM Diagnosis Code T74

    Adult and child abuse, neglect and other maltreatment, confirmed

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Use Additional
    • code, if applicable, to identify any associated current injury
    Adult and child abuse, neglect and other maltreatment, confirmed
  • T74.1
    ICD-10-CM Diagnosis Code T74.1

    Physical abuse, confirmed

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Physical abuse, confirmed
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • T74.11XS is considered exempt from POA reporting.
ICD-10-CM T74.11XS is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 922 Other injury, poisoning and toxic effect diagnoses with mcc
  • 923 Other injury, poisoning and toxic effect diagnoses without mcc

Convert T74.11XS to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To T74.11XS
T74.01XD …… subsequent encounter
T74.01XS …… sequela
T74.02 Child neglect or abandonment, confirmed
T74.02XA …… initial encounter
T74.02XD …… subsequent encounter
T74.02XS …… sequela
T74.1 Physical abuse, confirmed
T74.11 Adult physical abuse, confirmed
T74.11XA …… initial encounter
T74.11XD …… subsequent encounter
T74.11XS …… sequela
T74.12 Child physical abuse, confirmed
T74.12XA …… initial encounter
T74.12XD …… subsequent encounter
T74.12XS …… sequela
T74.2 Sexual abuse, confirmed
T74.21 Adult sexual abuse, confirmed
T74.21XA …… initial encounter
T74.21XD …… subsequent encounter
T74.21XS …… sequela
T74.22 Child sexual abuse, confirmed

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

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