2026 ICD-10-CM Diagnosis Code T74.A1XSAdult financial abuse, confirmed, sequela

ICD-10-CM Codes›S00–T88›T66-T78›T74

ICD-10-CM T74.A1XS
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T74.A1XS is a billable ICD-10-CM diagnosis code for adult financial 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. Coders also document this condition as elder abuse. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, sequela.

Code Identity

ICD-10-CM Code
T74.A1XS
Billable Status
Yes — Valid for Submission
Code Describes
Adult financial abuse, confirmed, sequela
Short Description
Adult financial abuse, confirmed, sequela
Same as the full description in the CMS dataset.
Parent Code
T74.A1
Adult financial abuse, confirmed

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT66-T78Other and unspecified effects of external causes
CategoryT74Adult and child abuse, neglect and other maltreatment, confirmed
This CodeT74.A1XSAdult financial abuse, confirmed, sequela

Code EditsBilling

Medicare Code Editor checks that affect claim validity for T74.A1XS.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Present on Admission (POA)Billing

T74.A1XS 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.

  • Elder abuse
  • Elder financial abuse
  • Elderly person maltreatment
  • Financial abuse
  • Victim of elder financial exploitation
  • Victim of exploitation

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.

CCSR INJ074
Effect of other external causes, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Code History & ChangesHistory

Replacement T74.A1XS replaces the following previously assigned code(s):

  • T74.91XS - Unspecified adult maltreatment, confirmed, sequela
FY 2024AddedAdded to the ICD-10-CM code setEffective October 1, 2023.
FY 2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T74.A1XSOverview

Is T74.A1XS (Adult financial abuse, confirmed) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report adult financial abuse, confirmed, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in T74.A1XS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the adult financial abuse, confirmed itself has resolved, not the original event.

What MS-DRG does T74.A1XS group to?

When adult financial 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.A1XS be reported for?

The Medicare Code Editor checks adult financial 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.A1XS 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 financial 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.