2019 ICD-10-CM Diagnosis Code Z69.11

Encounter for mental health services for victim of spousal or partner abuse

    2016 2017 2018 2019 Billable/Specific Code POA Exempt
  • Z69.11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encntr for mntl hlth serv for victim of spous or prtnr abuse
  • The 2019 edition of ICD-10-CM Z69.11 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Z69.11 - other international versions of ICD-10 Z69.11 may differ.
Applicable To
  • Encounter for mental health services for victim of spouse or partner neglect
  • Encounter for mental health services for victim of spouse or partner psychological abuse
  • Encounter for mental health services for victim of spouse or partner violence, physical
The following code(s) above Z69.11 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 Z69.11:
  • Z00-Z99
    2019 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
  • Z69
    ICD-10-CM Diagnosis Code Z69

    Encounter for mental health services for victim and perpetrator of abuse

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • counseling for victims and perpetrators of abuse
    Encounter for mental health services for victim and perpetrator of abuse
Approximate Synonyms
  • Counseling for victim of physical abuse by spouse or partner
  • Counseling for victim of physical abuse effected by spouse or partner done
  • Counseling for victim of sexual abuse by spouse or partner
  • Counseling for victim of sexual abuse effected by spouse or partner done
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.
  • Z69.11 is considered exempt from POA reporting.
ICD-10-CM Z69.11 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 951 Other factors influencing health status

Convert Z69.11 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

Diagnosis Index entries containing back-references to Z69.11:
  • Counseling (for) Z71.9
    ICD-10-CM Diagnosis Code Z71.9

    Counseling, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Encounter for medical advice NOS
    • spousal abuse (perpetrator) Z69.12
      ICD-10-CM Diagnosis Code Z69.12

      Encounter for mental health services for perpetrator of spousal or partner abuse

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Encounter for mental health services for perpetrator of spouse or partner neglect
      • Encounter for mental health services for perpetrator of spouse or partner psychological abuse
      • Encounter for mental health services for perpetrator of spouse or partner violence, physical
      • Encounter for mental health services for perpetrator of spouse or partner violence, sexual
      • victim Z69.11
  • Encounter (with health service) (for) Z76.89
    ICD-10-CM Diagnosis Code Z76.89

    Persons encountering health services in other specified circumstances

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Persons encountering health services NOS

ICD-10-CM Codes Adjacent To Z69.11
Z68.54 …… greater than or equal to 95th percentile for age
Z69 Encounter for mental health services for victim and perpetrator of abuse
Z69.0 Encounter for mental health services for child abuse problems
Z69.01 Encounter for mental health services for parental child abuse
Z69.010 Encounter for mental health services for victim of parental child abuse
Z69.011 Encounter for mental health services for perpetrator of parental child abuse
Z69.02 Encounter for mental health services for non-parental child abuse
Z69.020 Encounter for mental health services for victim of non-parental child abuse
Z69.021 Encounter for mental health services for perpetrator of non-parental child abuse
Z69.1 Encounter for mental health services for spousal or partner abuse problems
Z69.11 Encounter for mental health services for victim of spousal or partner abuse
Z69.12 Encounter for mental health services for perpetrator of spousal or partner abuse
Z69.8 Encounter for mental health services for victim or perpetrator of other abuse
Z69.81 Encounter for mental health services for victim of other abuse
Z69.82 Encounter for mental health services for perpetrator of other abuse
Z70 Counseling related to sexual attitude, behavior and orientation
Z70.0 Counseling related to sexual attitude
Z70.1 Counseling related to patient's sexual behavior and orientation
Z70.2 Counseling related to sexual behavior and orientation of third party
Z70.3 Counseling related to combined concerns regarding sexual attitude, behavior and orientation
Z70.8 Other sex counseling

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