2021 ICD-10-CM Code T74.02XS
Child neglect or abandonment, confirmed, sequela
Valid for Submission
T74.02XS is a billable diagnosis code used to specify a medical diagnosis of child neglect or abandonment, confirmed, sequela. The code T74.02XS is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code T74.02XS might also be used to specify conditions or terms like abandoned child, abandonment of infant, abuse of disabled person, accident due to abandonment of child, accident due to abandonment of disabled person , accident due to abandonment of newborn, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code T74.02XS is applicable for patients aged 0 through 17 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.
T74.02XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like child neglect or abandonment confirmed. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
| ICD-10: | T74.02XS |
| Short Description: | Child neglect or abandonment, confirmed, sequela |
| Long Description: | Child neglect or abandonment, confirmed, sequela |
Code Classification
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:
- Pediatric diagnoses - The Medicare Code Editor detects inconsistencies in pediatric cases by checking a patient's age and any diagnosis on the patient's record. The pediatric code edits apply to patients age range is 0–17 years inclusive (e.g., Reye's syndrome, routine child health exam).
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abandoned child
- Abandonment of infant
- Abuse of disabled person
- Accident due to abandonment of child
- Accident due to abandonment of disabled person
- Accident due to abandonment of newborn
- 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 child
- Accident due to neglect of disabled person
- Child abandonment
- Child deprivation syndrome
- Child neglect
- Child victim of nutritional neglect
- Delayed healthcare provision resulting in neglect
- Exposure to weather conditions resulting from abandonment
- Finding related to dependent adult care
- Inappropriately left alone
- Lacks emotional nurturance
- Lacks necessary supervision
- Neglect of disabled person
- Neglect or abandonment
- Neglectful caretaking
- Nutritional maltreatment of child
- Victim of child neglect
- Victim of child neglect
- Victim of infant neglect
- Victim of neglect
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code T74.02XS is grouped in the following groups for version MS-DRG V38.0 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 10/01/2020 through 09/30/2021.
Present on Admission (POA)
T74.02XS 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 Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T74.02XS to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T74.02XS its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 909.9 - Late eff exter cause NEC (Approximate Flag)
Information for Patients
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.
- Child abuse - physical (Medical Encyclopedia)
- Child neglect and emotional abuse (Medical Encyclopedia)
- Shaken baby syndrome (Medical Encyclopedia)
[Learn More in MedlinePlus]
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)