2026 ICD-10-CM Diagnosis Code T74.02XSChild neglect or abandonment, confirmed, sequela
T74.02XS is a billable ICD-10-CM diagnosis code for child neglect or abandonment, confirmed, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. 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) and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, sequela.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for T74.02XS.
Present on Admission (POA)Billing
T74.02XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
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.
Read the full article at MedlinePlus
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Convert T74.02XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T74.02XSOverview
Is T74.02XS (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, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T74.02XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the child neglect or abandonment, confirmed itself has resolved, not the original event.
What MS-DRG does T74.02XS group to?
When child neglect or abandonment, confirmed, sequela 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 T74.02XS be reported for?
The Medicare Code Editor checks child neglect or abandonment, confirmed, sequela against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.
Is T74.02XS exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for child neglect or abandonment, confirmed, sequela on inpatient claims.
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.
