ICD-10-CM Code T74.01XD

Adult neglect or abandonment, confirmed, subsequent encounter

Version 2020 Billable Code Adult Diagnoses POA Exempt

Valid for Submission

T74.01XD is a billable code used to specify a medical diagnosis of adult neglect or abandonment, confirmed, subsequent encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code T74.01XD might also be used to specify conditions or terms like abandonment of elderly person, abuse of disabled person, accident due to abandonment of disabled person, accident due to abandonment of elderly person, accident due to abandonment or neglect of helpless person, accident due to abandonment or neglect of helpless person, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code T74.01XD 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.

ICD-10:T74.01XD
Short Description:Adult neglect or abandonment, confirmed, subs encntr
Long Description:Adult neglect or abandonment, confirmed, subsequent encounter

Code Edits

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

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

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

  • Abandonment of elderly person
  • Abuse of disabled person
  • Accident due to abandonment of disabled person
  • Accident due to abandonment of elderly person
  • Accident due to abandonment or neglect of helpless person
  • Accident due to abandonment or neglect of helpless person
  • Accident due to abandonment or neglect of helpless person
  • Accident due to abandonment or neglect of helpless person
  • Accident due to neglect of disabled person
  • Accident due to neglect of elderly person
  • Adult victim of neglect
  • Adult victim of nutritional neglect
  • Delayed healthcare provision resulting in neglect
  • Deprivation of nourishment of elderly person
  • Elderly person maltreatment
  • Elderly person maltreatment
  • Elderly person maltreatment
  • Exposure to weather conditions resulting from abandonment
  • Finding related to dependent adult care
  • Inappropriately left alone
  • Lacks emotional nurturance
  • Lacks necessary supervision
  • Neglect of adult
  • Neglect of adult
  • Neglect of disabled person
  • Neglect of elder
  • Neglect or abandonment
  • Neglected elder
  • Neglected parents
  • Neglected spouse
  • Neglectful caretaking
  • Nutritional neglect of adult
  • Victim of neglect

Diagnostic Related Groups

The ICD-10 code T74.01XD is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Present on Admission (POA)

T74.01XD is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T74.01XD to ICD-9

  • V58.89 - Other specfied aftercare (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Other and unspecified effects of external causes (T66-T78)
      • Adult and child abuse, neglect and oth maltreat, confirmed (T74)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020