2026 ICD-10-CM Diagnosis Code T74.11XSAdult physical abuse, confirmed, sequela

ICD-10-CM Codes›S00–T88›T66-T78›T74

ICD-10-CM T74.11XS
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T74.11XS is a billable ICD-10-CM diagnosis code for adult physical abuse, 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 adult patients (age 15 through 124) and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, sequela.

Code Identity

ICD-10-CM Code
T74.11XS
Billable Status
Yes — Valid for Submission
Code Describes
Adult physical abuse, confirmed, sequela
Short Description
Adult physical abuse, confirmed, sequela
Same as the full description in the CMS dataset.
Parent Code
T74.11
Adult physical abuse, confirmed

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT66-T78Other and unspecified effects of external causes
CategoryT74Adult and child abuse, neglect and other maltreatment, confirmed
This CodeT74.11XSAdult physical abuse, confirmed, sequela

Code EditsBilling

Medicare Code Editor checks that affect claim validity for T74.11XS.

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).

Present on Admission (POA)Billing

T74.11XS 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.

  • Abuse of disabled person
  • Adult victim of physical abuse
  • Adult victim of physical abuse by female partner
  • Adult victim of physical abuse by male partner
  • Battered woman syndrome
  • Domestic abuse
  • Domestic physical abuse
  • Domestic physical abuse of adult
  • Domestic violence
  • Elder abuse
  • Elderly person maltreatment
  • Late effect of domestic violence
  • Late effects of assault
  • Non-accidental injury
  • Non-domestic physical abuse of adult
  • Physical abuse
  • Physical abuse of adult
  • Physical abuse of disabled person
  • Physical abuse of elderly person
  • Physical injury due to physical abuse
  • Victim of homosexual aggression
  • Victim of intimate partner abuse
  • Victim of physical abuse
  • Victim of physical abuse by intimate partner
  • Victim of physical assault
  • Victim of trampling

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.

CCSR INJ074
Effect of other external causes, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Elder Abuse

    emotional, nutritional, financial, or physical maltreatment, exploitation, or abandonment of the older person generally by family members or by institutional personnel.

  • Domestic Violence

    domestic violence is a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another.domestic violence can be physical, sexual, emotional, economic, or psychological actions or threats of actions that influence another person. this includes any behaviors that intimidate, manipulate, humiliate, isolate, frighten, terrorize, coerce, threaten, blame, hurt, injure, or wound someone. (from: https://www.ojp.gov/sites/g/files/xyckuh241/files/archives/factsheets/ojpfs_domesticviolence.html).

  • Physical Abuse

    violence inflicted on an individual through physical contact.

Convert T74.11XS to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
909.9 Late eff exter cause NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T74.11XSOverview

Is T74.11XS (Adult physical abuse, confirmed) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report adult physical abuse, confirmed, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in T74.11XS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the adult physical abuse, confirmed itself has resolved, not the original event.

What MS-DRG does T74.11XS group to?

When adult physical abuse, 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 T74.11XS be reported for?

The Medicare Code Editor checks adult physical abuse, confirmed, sequela against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

Is T74.11XS 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 adult physical abuse, 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.