2026 ICD-10-CM Diagnosis Code T74.02XAChild neglect or abandonment, confirmed, initial encounter
T74.02XA is a billable ICD-10-CM diagnosis code for child neglect or abandonment, confirmed, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is restricted by the Medicare Code Editor to pediatric patients (age 0 through 17). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, assault; External cause codes: other specified, classifiable and NEC; initial encounter; and Maltreatment/abuse.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for T74.02XA.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abandoned child
- Abandonment
- 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 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
- Neglect of disabled person
- Neglectful caretaking
- Nutritional maltreatment of child
- Victim of child neglect
- Victim of infant neglect
- Victim of neglect
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
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Convert T74.02XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T74.02XAOverview
Is T74.02XA (Child neglect or abandonment, confirmed) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report child neglect or abandonment, confirmed, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T74.02XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for child neglect or abandonment, confirmed, such as an emergency visit or first evaluation.
What MS-DRG does T74.02XA group to?
When child neglect or abandonment, confirmed, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Who can T74.02XA be reported for?
The Medicare Code Editor checks child neglect or abandonment, confirmed, initial encounter against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.
What is the ICD-9 equivalent of T74.02XA?
Under the General Equivalence Mappings, child neglect or abandonment, confirmed, initial encounter converts to ICD-9-CM 995.52 (child neglect-nutrition) and E904.0 (abandonment/lack of care). The mapping is approximate, so confirm the match fits the documentation.
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.
