2026 ICD-10-CM Diagnosis Code T74.32XAChild psychological abuse, confirmed, initial encounter
T74.32XA is a billable ICD-10-CM diagnosis code for child 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 pediatric patients (age 0 through 17). 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 T74.32XA.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abuse by cyberbullying
- Abuse of disabled person
- Child neglect
- Child victim of emotional abuse
- Child victim of psychological abuse
- Domestic abuse
- Domestic emotional abuse
- Emotional abuse
- Emotional abuse of child
- Emotional abuse of disabled person
- Emotional deprivation of child
- Psychological abuse
- Psychosocial deprivation
- Sensory isolation
- Social isolation
- Victim of bullying
- Victim of consistent negative messages
- Victim of cyberbullying
- Victim of emotional abuse
- Victim of emotional abuse by intimate partner
- 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
Psychosocial Deprivation
the absence of appropriate stimuli in the physical or social environment which are necessary for the emotional, social, and intellectual development of the individual.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).Social Isolation
the separation of individuals or groups resulting in the lack of or minimizing of social contact and/or communication. this separation may be accomplished by physical separation, by social barriers and by psychological mechanisms. in the latter, there may be interaction but no real communication.PDQUALIF - Social Isolation
parkinson's disease quality of life scale (pdqualif) my parkinson's symptoms cause me to stay away from social gatherings.PROMIS Short Form-Social Isolation-4a|PROMIS Item Bank v2.0 - Social Isolation - Short Form 4a|PROMIS Short Form - Social Isolation - 4a|PROMIS Short Form v2.0 - Social Isolation 4a|PROMIS-SI-4a
a patient reported outcomes measure that assesses perceptions of being avoided, excluded, detached, disconnected from, or unknown by, others.Social Isolation
a condition in which an individual feels or is made to feel as though he or she has no place within society. this is often the case with persons who have inadequate support systems or who suffer from stigmatized disease, such as aids and mental illness.
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.
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Convert T74.32XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T74.32XAOverview
Is T74.32XA (Child psychological abuse, confirmed) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report child psychological abuse, confirmed, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T74.32XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for child psychological abuse, confirmed, such as an emergency visit or first evaluation.
What MS-DRG does T74.32XA group to?
When child 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 T74.32XA be reported for?
The Medicare Code Editor checks child psychological abuse, confirmed, initial encounter against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.
What is the ICD-9 equivalent of T74.32XA?
Under the General Equivalence Mappings, child psychological abuse, confirmed, initial encounter converts to ICD-9-CM 995.51 (child 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.
