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  6. 2024 ICD-10-CM Code T74
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code T74

Adult and child abuse, neglect and other maltreatment, confirmed

ICD-10-CM Code:
T74
ICD-10 Code for:
Adult and child abuse, neglect and oth maltreat, confirmed
Is Billable?
Not Valid for Submission
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 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of adult and child abuse, neglect and other maltreatment, confirmed. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Adult and child abuse, neglect and oth maltreat, confirmed

Non-specific codes like T74 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for adult and child abuse, neglect and oth maltreat, confirmed:

  • T74.0 for Neglect or abandonment, confirmed - NON-BILLABLE CODE

  • T74.01 for Adult neglect or abandonment, confirmed - NON-BILLABLE CODE

  • T74.02 for Child neglect or abandonment, confirmed - NON-BILLABLE CODE

  • T74.1 for Physical abuse, confirmed - NON-BILLABLE CODE

  • T74.11 for Adult physical abuse, confirmed - NON-BILLABLE CODE

  • T74.12 for Child physical abuse, confirmed - NON-BILLABLE CODE

  • T74.2 for Sexual abuse, confirmed - NON-BILLABLE CODE

  • T74.21 for Adult sexual abuse, confirmed - NON-BILLABLE CODE

  • T74.22 for Child sexual abuse, confirmed - NON-BILLABLE CODE

  • T74.3 for Psychological abuse, confirmed - NON-BILLABLE CODE

  • T74.31 for Adult psychological abuse, confirmed - NON-BILLABLE CODE

  • T74.32 for Child psychological abuse, confirmed - NON-BILLABLE CODE

  • T74.4 for Shaken infant syndrome - NON-BILLABLE CODE

  • T74.5 for Forced sexual exploitation, confirmed - NON-BILLABLE CODE

  • T74.51 for Adult forced sexual exploitation, confirmed - NON-BILLABLE CODE

  • T74.52 for Child sexual exploitation, confirmed - NON-BILLABLE CODE

  • T74.6 for Forced labor exploitation, confirmed - NON-BILLABLE CODE

  • T74.61 for Adult forced labor exploitation, confirmed - NON-BILLABLE CODE

  • T74.62 for Child forced labor exploitation, confirmed - NON-BILLABLE CODE

  • T74.9 for Unspecified maltreatment, confirmed - NON-BILLABLE CODE

  • T74.91 for Unspecified adult maltreatment, confirmed - NON-BILLABLE CODE

  • T74.92 for Unspecified child maltreatment, confirmed - NON-BILLABLE CODE

  • T74.A for Financial abuse, confirmed - NON-BILLABLE CODE

  • T74.A1 for Adult financial abuse, confirmed - NON-BILLABLE CODE

  • T74.A2 for Child financial abuse, confirmed - NON-BILLABLE CODE

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

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code, if applicable, to identify any associated current injury

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • abuse and maltreatment in pregnancy O9A.3 O9A.4 O9A.5
  • adult and child maltreatment, suspected T76

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from category T74

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Patient Education


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.

Most abused children suffer greater emotional than physical damage. An abused child may become depressed. He or she may withdraw, think of suicide or become violent. An older child may use drugs or alcohol, try to run away or abuse others.

Child abuse is a serious problem. If you suspect a child is being abused or neglected, call the police or your local child welfare agency.


[Learn More in 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.

The mistreatment may be:

  • Physical, sexual, or emotional abuse
  • Neglect or abandonment
  • Financial abuse - stealing of money or belongings

Possible signs of elder abuse include unexplained bruises, burns, and injuries. There may also be bed sores and poor hygiene. The person may become withdrawn, agitated, and depressed. There may be a sudden change in the person's financial situation.

Elder abuse will not stop on its own. Someone else needs to step in and help. If you think that an older person is in urgent danger, call 911. Otherwise, contact adult protective services.

NIH: National Institute on Aging


[Learn More in MedlinePlus]

Intimate Partner Violence

What is intimate partner violence (IPV)?

Intimate partner violence (IPV) is abuse that happens in a romantic relationship. The intimate partner could be a current or former spouse or dating partner. IPV is also known as domestic violence.

IPV may include different types of abuse, such as:

  • Physical violence, when a person hurts or tries to hurt a partner by hitting, kicking, or using another type of physical force.
  • Sexual violence which involves forcing or attempting to force a partner to take part in sexual activity when the partner does not or cannot consent. The sexual activity could include things like sex acts, sexual touching, or non-physical sexual events (e.g., sexting).
  • Emotional abuse, which includes threats, name-calling, put-downs, and humiliation. It can also involve controlling behavior, such as telling a partner how to act or dress and not letting them see family or friends.
  • Economic abuse, also called financial abuse, which involves controlling access to money.
  • Stalking, which is repeated, unwanted contact that causes fear or concern for the safety of the partner. This can include watching or following the partner. The stalker may send repeated, unwanted phone calls or texts.

Who is affected by intimate partner violence (IPV)?

It is hard to know exactly how common IPV is because it is often not reported.

But we do know that anyone can be affected by it. IPV can happen to anyone. It affects people with all levels of income and education.

What are the signs that someone is experiencing intimate partner violence (IPV)?

If you think that a loved one might be experiencing IPV, watch for these signs:

Does your friend or loved one:

  • Have unexplained cuts or bruises?
  • Avoid friends, family, and favorite activities?
  • Make excuses for their partner's behavior?
  • Look uncomfortable or fearful around their partner?

Does your friend or loved one's partner:

  • Yell at or make fun of them?
  • Try to control them by making all the decisions?
  • Check up on them at work or school?
  • Force them to do sexual things they don't want to do?
  • Threaten to hurt themself if the partner wants to break up?

What can I do if I am experiencing intimate partner violence (IPV)?

Your safety is the most important concern. If you are in immediate danger, call 911.

If you are not in immediate danger, you can:

  • Get medical care if you have been injured or sexually assaulted.
  • Call a helpline for free, anonymous help. You can contact the National Domestic Violence Hotline at 800-799-SAFE (7233) or 800-787-3224 (TTY). You can also chat with them through their website or through text by texting START to 88788.
  • Find out where to get help in your community. Contact local organizations that can help you.
  • Make a safety plan to leave. Intimate partner violence usually does not get better. Think about a safe place for you to go and all of the things that you will need when you leave.
  • Save the evidence. Keep evidence of abuse, such as pictures of your injuries or threatening emails or texts. Make sure that it is in a safe place the abuser cannot access.
  • Talk to someone you trust, such as a family member, a friend, a co-worker, or a spiritual leader.
  • Consider getting a restraining order to protect yourself.

How can I help someone who is experiencing intimate partner violence (IPV)?

Let your loved one know that being treated this way isn't healthy and that they are not to blame. You should:

  • Call 911 if there is immediate danger.
  • Watch for the signs of abuse. Learn about the signs and keep track of the ones that you see.
  • Find out about local resources. Get the addresses and phone numbers of some local resources in your community. Then you'll be able to share the information if the person is ready for it.
  • Set up a time to talk. Make sure you can have your conversation in a safe, private place. Your loved one's partner may have access to his or her cell phone or computer, so be careful about sharing information over text or email.
  • Be specific about why you are worried. Describe the behaviors that concern you. Be as specific as possible when explaining why you are worried.
  • Plan for safety. If your loved one is ready to leave an abusive partner, help make a plan for getting out of the relationship as safely as possible. An intimate partner violence counselor can help with making a safety plan.
  • Be patient and do not judge. You should talk about your concerns with your loved one, but you need to understand that they may not be ready to talk about it. Let them know that you're available to talk at any time, and that you will listen without judging them.

[Learn More in MedlinePlus]

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.