2026 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 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). 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
- 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 elder 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 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.Emotional Abuse
nonphysical abuse as defined as a pattern of behavior in which one person deliberately and repeatedly subjects another to nonphysical acts that are detrimental to behavioral and affective functioning and overall mental well-being. (apa dictionary of psychology, accessed 4/21/2020).
Convert T74.31XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T74.31XAOverview
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, 2025 through September 30, 2026.
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 922, 923, with relative weights from 1.0177 to 1.7494 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.
What is the ICD-9 equivalent of T74.31XA?
Under the General Equivalence Mappings, adult psychological abuse, confirmed, initial encounter converts to ICD-9-CM 995.82 (adult emotnl/psych abuse). 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.
