2026 ICD-10-CM Diagnosis Code T74.32XSChild psychological abuse, confirmed, sequela
T74.32XS is a billable ICD-10-CM diagnosis code for child 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 pediatric patients (age 0 through 17) 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 T74.32XS.
Present on Admission (POA)Billing
T74.32XS 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
- 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 T74.32XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T74.32XSOverview
Is T74.32XS (Child psychological abuse, confirmed) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report child psychological abuse, confirmed, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T74.32XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the child psychological abuse, confirmed itself has resolved, not the original event.
What MS-DRG does T74.32XS group to?
When child 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 T74.32XS be reported for?
The Medicare Code Editor checks child psychological abuse, confirmed, sequela against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.
Is T74.32XS 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 child 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.
