Version 2024

2024 ICD-10-CM Diagnosis Code T74.61XA

Adult forced labor exploitation, confirmed, initial encounter

ICD-10-CM Code:: T74.61XA
ICD-10 Code for:: Adult forced labor exploitation, confirmed, init
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
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Code Information
Clinical Classification
Coding Guidelines
Tabular List of Diseases and Injuries
Code Edits
Diagnostic Related Groups Mapping
Replacement Code
Patient Education
Other Codes Used Similar Conditions
Code History

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)

T74.61XA is a billable diagnosis code used to specify a medical diagnosis of adult forced labor exploitation, 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 T74.61XA 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.

T74.61XA 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 forced labor exploitation 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.

Clinical Classification

Clinical Category	CCSR Category Code	Inpatient Default CCSR	Outpatient Default CCSR
External cause codes: intent of injury, assault	EXT022	N - 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 encounter	EXT018	N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.	N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Maltreatment/abuse	INJ032	Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.	Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

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).

T74.61XA is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	21	1.7449
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	21	1.0114

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

T7461XA replaces the following previously assigned ICD-10-CM code(s):

T74.11XA - Adult physical abuse, confirmed, initial encounter

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

T74 Adult and child abuse, neglect and other maltreatment, confirmed.
T74.0 Neglect or abandonment, confirmed.
T74.01 Adult neglect or abandonment, confirmed.
T74.01XA Adult neglect or abandonment, confirmed, initial encounter.
T74.01XD Adult neglect or abandonment, confirmed, subsequent encounter.
T74.01XS Adult neglect or abandonment, confirmed, sequela.
T74.02 Child neglect or abandonment, confirmed.
T74.02XA Child neglect or abandonment, confirmed, initial encounter.
T74.02XD Child neglect or abandonment, confirmed, subsequent encounter.
T74.02XS Child neglect or abandonment, confirmed, sequela.
T74.1 Physical abuse, confirmed.
T74.11 Adult physical abuse, confirmed.
T74.11XA Adult physical abuse, confirmed, initial encounter.
T74.11XD Adult physical abuse, confirmed, subsequent encounter.
T74.11XS Adult physical abuse, confirmed, sequela.
T74.12 Child physical abuse, confirmed.
T74.12XA Child physical abuse, confirmed, initial encounter.
T74.12XD Child physical abuse, confirmed, subsequent encounter.
T74.12XS Child physical abuse, confirmed, sequela.
T74.2 Sexual abuse, confirmed.
T74.21 Adult sexual abuse, confirmed.
T74.21XA Adult sexual abuse, confirmed, initial encounter.
T74.21XD Adult sexual abuse, confirmed, subsequent encounter.
T74.21XS Adult sexual abuse, confirmed, sequela.
T74.22 Child sexual abuse, confirmed.
T74.22XA Child sexual abuse, confirmed, initial encounter.
T74.22XD Child sexual abuse, confirmed, subsequent encounter.
T74.22XS Child sexual abuse, confirmed, sequela.
T74.3 Psychological abuse, confirmed.
T74.31 Adult psychological abuse, confirmed.
T74.31XA Adult psychological abuse, confirmed, initial encounter.
T74.31XD Adult psychological abuse, confirmed, subsequent encounter.
T74.31XS Adult psychological abuse, confirmed, sequela.
T74.32 Child psychological abuse, confirmed.
T74.32XA Child psychological abuse, confirmed, initial encounter.
T74.32XD Child psychological abuse, confirmed, subsequent encounter.
T74.32XS Child psychological abuse, confirmed, sequela.
T74.4 Shaken infant syndrome.
T74.4XXA Shaken infant syndrome, initial encounter.
T74.4XXD Shaken infant syndrome, subsequent encounter.
T74.4XXS Shaken infant syndrome, sequela.
T74.5 Forced sexual exploitation, confirmed.
T74.51 Adult forced sexual exploitation, confirmed.
T74.51XA Adult forced sexual exploitation, confirmed, initial encounter.
T74.51XD Adult forced sexual exploitation, confirmed, subsequent encounter.
T74.51XS Adult forced sexual exploitation, confirmed, sequela.
T74.52 Child sexual exploitation, confirmed.
T74.52XA Child sexual exploitation, confirmed, initial encounter.
T74.52XD Child sexual exploitation, confirmed, subsequent encounter.
T74.52XS Child sexual exploitation, confirmed, sequela.
T74.6 Forced labor exploitation, confirmed.

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

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.