2027 ICD-10-CM Diagnosis Code T74.31XAAdult psychological abuse, confirmed, initial encounter
T74.31XA is a billable ICD-10-CM diagnosis code for adult psychological abuse, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 922 through 923. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). 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 T74.31XA.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abuse by cyberbullying
- Abuse of disabled person
- Adult victim of emotional abuse
- Domestic abuse
- Domestic emotional abuse
- Elder abuse
- Elder psychological abuse
- Elderly person maltreatment
- Elderly victim of maltreatment
- Emotional abuse
- Emotional abuse of adult
- Emotional abuse of disabled person
- Emotional abuse of elderly person
- Psychological abuse
- Psychological abuse of adult
- Psychologically abused elder
- Psychologically abused parent
- Psychologically abused spouse
- Psychologically abused woman
- Victim of bullying
- Victim of consistent negative messages
- Victim of cyberbullying
- Victim of domestic emotional abuse
- Victim of elder abuse
- Victim of elder emotional abuse
- Victim of elder financial abuse
- Victim of emotional abuse
- Victim of emotional abuse by intimate partner
- Victim of financial abuse
- Victim of intimate partner abuse
- Victim of oppression in country of origin
- Victim of psychological abuse
- Victim of verbal abuse
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 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to T74.31XA: its own notes plus those printed at T74, block T66-T78, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code, if applicable, to identify any associated current injury
- external cause code to identify perpetrator, if known (Y07.-)
- code to identify any retained foreign body, if applicable (Z18.-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
- if applicable, place of occurrence, such as:
- highway rest stop (Y92.523)
- school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
- service areas as the place of occurrence of the external cause (Y92.52-)
- single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
- transport vehicle as the place of occurrence of the external cause (Y92.81-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category T74
- Ainitial encounter this code
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name T74.31XA, its category, or a range that includes it.
Applicable To 2
These notes mention T74.31XA.
- O9A.2 Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperiumConditions in S00-T88, except T74 and T76 names T74, which includes this code
- O9A.5 Psychological abuse complicating pregnancy, childbirth and the puerperiumConditions in T74.31 or T76.31 names T74.31, which includes this code
Excludes1 3
These codes carry an Excludes1 note naming T74.31XA: they are not reported together with it, unless the two conditions are unrelated.
- T76 Adult and child abuse, neglect and other maltreatment, suspectedadult and child maltreatment, confirmed (T74.-) names T74.-, which includes this code
- Z04.71 Encounter for examination and observation following alleged adult physical abuseconfirmed case of adult physical abuse (T74.-) names T74.-, which includes this code
- Z04.72 Encounter for examination and observation following alleged child physical abuseconfirmed case of child physical abuse (T74.-) names T74.-, which includes this code
Excludes2 4
These codes carry an Excludes2 note naming T74.31XA: its condition is not part of those codes, and both may be reported when the patient has both.
- F94.1 Reactive attachment disorder of childhoodmaltreatment syndromes (T74.-) names T74.-, which includes this code
- Z62 Problems related to upbringingmaltreatment syndrome (T74.-) names T74.-, which includes this code
- Z62.815 Personal history of intimate partner abuse in childhoodadult and child abuse, neglect and other maltreatment, confirmed (T74.-) names T74.-, which includes this code
- Z63 Other problems related to primary support group, including family circumstancesmaltreatment syndrome (T74.-, T76) names T74.-, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert T74.31XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T74.31XAOverview
What is the ICD-10 code for adult psychological abuse, confirmed, initial encounter?
The ICD-10-CM code for adult psychological abuse, confirmed, initial encounter is T74.31XA (sometimes written as T7431XA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is T74.31XA (Adult psychological abuse, confirmed) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report adult psychological abuse, confirmed, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in T74.31XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for adult psychological abuse, confirmed, such as an emergency visit or first evaluation.
What MS-DRG does T74.31XA group to?
When adult psychological abuse, confirmed, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.
Who can T74.31XA be reported for?
The Medicare Code Editor checks adult psychological abuse, confirmed, initial encounter against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.
