2026 ICD-10-CM Diagnosis Code T74Adult and child abuse, neglect and other maltreatment, confirmed
T74 is a non-billable ICD-10-CM category code for adult and child abuse, neglect and other maltreatment, confirmed, so it cannot be submitted on claims. Use a more specific code from this category instead, such as T74.01XA, T74.01XD, T74.01XS, and T74.02XA.
Code Identity
Code Classification
Specific Coding for Adult and child abuse, neglect and oth maltreat, confirmedOverview
Non-specific codes like T74 require more characters. Use one of these billable codes instead:
T74.0 for Neglect or abandonment, confirmed
T74.01 for Adult neglect or abandonment, confirmed
T74.02 for Child neglect or abandonment, confirmed
T74.1 for Physical abuse, confirmed
T74.11 for Adult physical abuse, confirmed
T74.12 for Child physical abuse, confirmed
T74.2 for Sexual abuse, confirmed
T74.21 for Adult sexual abuse, confirmed
T74.22 for Child sexual abuse, confirmed
T74.3 for Psychological abuse, confirmed
T74.31 for Adult psychological abuse, confirmed
T74.32 for Child psychological abuse, confirmed
T74.4 for Shaken infant syndrome
T74.5 for Forced sexual exploitation, confirmed
T74.51 for Adult forced sexual exploitation, confirmed
T74.52 for Child sexual exploitation, confirmed
T74.6 for Forced labor exploitation, confirmed
T74.61 for Adult forced labor exploitation, confirmed
T74.62 for Child forced labor exploitation, confirmed
T74.9 for Unspecified maltreatment, confirmed
T74.91 for Unspecified adult maltreatment, confirmed
T74.92 for Unspecified child maltreatment, confirmed
T74.A for Financial abuse, confirmed
T74.A1 for Adult financial abuse, confirmed
T74.A2 for Child financial abuse, confirmed
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Use Additional Code
- code, if applicable, to identify any associated current injury
Type 1 Excludes
7th Character Note
- The appropriate 7th character is to be added to each code from category T74
7th Character
- A - initial encounter
- D - subsequent encounter
- S - sequela
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.
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.
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.
Indicates that a seventh character is to be assigned to codes in a subcategory.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About T74Overview
Is T74 a billable code?
No. This is a category header that groups the codes for adult and child abuse, neglect and other maltreatment, confirmed, and headers cannot be submitted on claims. Claims for adult and child abuse, neglect and other maltreatment, confirmed need a more specific code from this category, such as T74.01XA, T74.01XD, and T74.01XS.
