ICD-10-CM Code T74.91XD

Unspecified adult maltreatment, confirmed, subsequent encounter

Version 2020 Billable Code Adult Diagnoses POA Exempt

Valid for Submission

T74.91XD is a billable code used to specify a medical diagnosis of unspecified adult maltreatment, confirmed, subsequent encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code T74.91XD 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 is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code T74.91XD 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:T74.91XD
Short Description:Unspecified adult maltreatment, confirmed, subs encntr
Long Description:Unspecified adult maltreatment, 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:

  • 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 T74.91XD 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 10/01/2020 through 09/30/2020.

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

Present on Admission (POA)

T74.91XD 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 T74.91XD 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