2024 ICD-10-CM Diagnosis Code T74.31XA

Adult psychological abuse, confirmed, initial encounter

ICD-10-CM Code:
T74.31XA
ICD-10 Code for:
Adult psychological abuse, confirmed, initial encounter
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Other and unspecified effects of external causes
      (T66-T78)
      • Adult and child abuse, neglect and other maltreatment, confirmed
        (T74)

T74.31XA is a billable diagnosis code used to specify a medical diagnosis of adult psychological abuse, confirmed, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

The code T74.31XA is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

T74.31XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like adult psychological abuse confirmed. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abuse by cyberbullying
  • Abuse of disabled person
  • Adult victim of emotional abuse
  • Domestic abuse
  • Domestic emotional abuse
  • Elderly person maltreatment
  • Emotional abuse
  • Emotional abuse
  • Emotional abuse
  • Emotional abuse of adult
  • Emotional abuse of disabled person
  • Emotional abuse of elderly person
  • Psychological abuse of adult
  • Psychologically abused elder
  • Psychologically abused parent
  • Psychologically abused spouse
  • Psychologically abused woman
  • Victim of bullying
  • Victim of consistent negative messages
  • Victim of cyberbullying
  • Victim of elder abuse
  • Victim of elder abuse
  • Victim of elder financial abuse
  • Victim of emotional abuse
  • Victim of emotional abuse
  • Victim of emotional abuse
  • Victim of emotional abuse by intimate partner
  • Victim of financial abuse
  • Victim of intimate partner abuse
  • Victim of oppression in country of origin
  • Victim of verbal abuse

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, assaultEXT022N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: other specified, classifiable and NEC; initial encounterEXT018N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Maltreatment/abuseINJ032Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Emotional Abuse

    nonphysical abuse as defined as a pattern of behavior in which one person deliberately and repeatedly subjects another to nonphysical acts that are detrimental to behavioral and affective functioning and overall mental well-being. (apa dictionary of psychology, accessed 4/21/2020).

Coding Guidelines

The appropriate 7th character is to be added to each code from block Adult and child abuse, neglect and other maltreatment, confirmed (T74). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Adult diagnoses - The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Convert T74.31XA to ICD-9-CM

  • ICD-9-CM Code: 995.82 - Adult emotnl/psych abuse
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.