2027 ICD-10-CM Diagnosis Code Z69.020Encounter for mental health services for victim of non-parental child abuse

ICD-10-CM Codes›Z00–Z99›Z69-Z76›Z69

ICD-10-CM Z69.020
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z69.020 is a billable ICD-10-CM diagnosis code for encounter for mental health services for victim of non-parental child abuse. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. 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 Encounter for mental health services related to abuse.

Code Identity

ICD-10-CM Code
Z69.020
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for mental health services for victim of non-parental child abuse
Short Description
Encntr for mntl hlth serv for vctm of non-prntl child abuse
Parent Code
Z69.02
Encounter for mental health services for non-parental child abuse

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ69-Z76Persons encountering health services in other circumstances
CategoryZ69Encounter for mental health services for victim and perpetrator of abuse
This CodeZ69.020Encounter for mental health services for victim of non-parental child abuse

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z69.020.

Pediatric diagnoses
The Medicare Code Editor detects inconsistencies in pediatric cases by checking a patient's age and any diagnosis on the patient's record. The pediatric code edits apply to patients age range is 0–17 years inclusive (e.g., Reye's syndrome, routine child health exam).

Present on Admission (POA)Billing

Z69.020 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons encountering health services in other circumstances (Z69-Z76).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z69.020: its own notes plus those printed at Z69 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Z69 Encounter for mental health services for victim and perpetrator of abuse applies to 8 codes
  • counseling for victims and perpetrators of abuse

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Encounter for mental health services for victim of non-parental child neglect
  • Encounter for mental health services for victim of non-parental child psychological abuse
  • Encounter for mental health services for victim of non-parental child sexual abuse

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z69.020, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming Z69.020: they are not reported together with it, unless the two conditions are unrelated.

  • Z69.011 Encounter for mental health services for perpetrator of parental child abuse
    encounter for mental health services for non-parental child abuse (Z69.02-) names Z69.02-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC002
Encounter for mental health services related to abuse
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z69.020 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V61.21 Cnsl victim child abuse
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z69.020Overview

Is Z69.020 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for mental health services for victim of non-parental child abuse on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z69.020 group to?

When encounter for mental health services for victim of non-parental child abuse is the principal diagnosis on an inpatient stay, it groups to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.

Who can Z69.020 be reported for?

The Medicare Code Editor checks encounter for mental health services for victim of non-parental child abuse against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.

Is Z69.020 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 encounter for mental health services for victim of non-parental child abuse on inpatient claims. The code appears in the Persons encountering health services in other circumstances (Z69-Z76) range of the CMS exempt list.

What is the ICD-9 equivalent of Z69.020?

Under the General Equivalence Mappings, encounter for mental health services for victim of non-parental child abuse converts to ICD-9-CM V61.21 (cnsl victim child abuse). The mapping is approximate, so confirm the match fits the documentation.