ICD-10-CM Code Z04.71

Encounter for examination and observation following alleged adult physical abuse

Version 2020 Billable Code Adult Diagnoses

Valid for Submission

Z04.71 is a billable code used to specify a medical diagnosis of encounter for examination and observation following alleged adult physical abuse. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code Z04.71 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:Z04.71
Short Description:Encntr for exam and obs fol alleged adult physical abuse
Long Description:Encounter for examination and observation following alleged adult physical abuse

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z04.71:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Suspected adult physical abuse, ruled out

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • confirmed case of adult physical abuse T74
  • encounter for examination and observation following alleged adult sexual abuse Z04.41
  • suspected case of adult physical abuse, not ruled out T76

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z04.71 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Convert Z04.71 to ICD-9

  • V71.81 - Observe-abuse & neglect (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services for examinations (Z00-Z13)
      • Encounter for examination and observation for other reasons (Z04)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Domestic Violence

Domestic violence is a type of abuse. It usually involves a spouse or partner, but it can also be a child, older relative, or other family member.

Domestic violence may include

  • Physical violence that can lead to injuries such as bruises or broken bones
  • Sexual violence
  • Threats of physical or sexual violence
  • Emotional abuse that may lead to depression, anxiety, or social isolation
  • Economic abuse, which involves controlling access to money
  • Stalking, which causes fear for your own safety

The first step in getting help is to tell someone you trust, such as a friend, family member, or co-worker. You can also contact your doctor or another health care professional, an emergency shelter, or a domestic violence helpline.

The first step in getting help is to tell someone you trust.

Centers for Disease Control and Prevention


[Learn More]