2026 ICD-10-CM Diagnosis Code T74.31XSAdult psychological abuse, confirmed, sequela
T74.31XS is a billable ICD-10-CM diagnosis code for adult psychological 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for T74.31XS.
Present on Admission (POA)Billing
T74.31XS 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 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 T74.31XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T74.31XSOverview
Is T74.31XS (Adult psychological abuse, confirmed) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report adult psychological abuse, confirmed, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T74.31XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the adult psychological abuse, confirmed itself has resolved, not the original event.
What MS-DRG does T74.31XS group to?
When adult psychological 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 T74.31XS be reported for?
The Medicare Code Editor checks adult psychological 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 T74.31XS 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 psychological 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.
