ICD-10-CM Code T74.91XA

Unspecified adult maltreatment, confirmed, initial encounter

Version 2020 Billable Code Adult Diagnoses

Valid for Submission

T74.91XA is a billable code used to specify a medical diagnosis of unspecified adult maltreatment, confirmed, initial encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code T74.91XA might also be used to specify conditions or terms like abuse, abuse by relative of victim, abuse by sibling, abuse by unrelated caregiver, abuse of disabled person, abuse of partner, etc

The code T74.91XA 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:T74.91XA
Short Description:Unspecified adult maltreatment, confirmed, initial encounter
Long Description:Unspecified adult maltreatment, confirmed, initial 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:

  • Abuse
  • Abuse by relative of victim
  • Abuse by sibling
  • Abuse by unrelated caregiver
  • Abuse of disabled person
  • Abuse of partner
  • Abusive caretaking
  • Adult abuse
  • Adult victim of abuse
  • Domestic abuse
  • Domestic abuse
  • Domestic abuse
  • Domestic abuse of adult
  • Elderly person maltreatment
  • Finding related to dependent adult care
  • Non-accidental injury
  • Non-accidental injury to adult
  • Victim of abuse
  • Victim of elder abuse
  • Victim of excessive discipline
  • Victim of harsh discipline
  • Victim of intimate partner abuse
  • Victim of violent environment

Diagnostic Related Groups

The ICD-10 code T74.91XA 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.

  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Convert T74.91XA to ICD-9

  • 995.80 - Adult maltreatment NOS (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