2027 ICD-10-CM Diagnosis Code Z69.021Encounter for mental health services for perpetrator of non-parental child abuse
Z69.021 is a billable ICD-10-CM diagnosis code for encounter for mental health services for perpetrator 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 not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as counseling of perpetrator of non-parental child abuse. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Encounter for mental health services related to abuse.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z69.021.
Present on Admission (POA)Billing
Z69.021 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).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Counseling of perpetrator of non-parental child abuse
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z69.021: 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.
- 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 perpetrator of non-parental child neglect
- Encounter for mental health services for perpetrator of non-parental child psychological abuse
- Encounter for mental health services for perpetrator of non-parental child sexual abuse
Notes
General instructions on how these codes are used.
- 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 Z69.021, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming Z69.021: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
perpetrator Z69.021
non-parental Z69.021
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 Z69.021 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z69.021Overview
Is Z69.021 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report encounter for mental health services for perpetrator of non-parental child abuse on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z69.021 group to?
On inpatient claims, encounter for mental health services for perpetrator of non-parental child abuse maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z69.021 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for mental health services for perpetrator of non-parental child abuse describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z69.021 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 perpetrator 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 Z69.021?
Under the General Equivalence Mappings, encounter for mental health services for perpetrator of non-parental child abuse converts to ICD-9-CM V62.83 (cnsl perp phys/sex abuse). The mapping is approximate, so confirm the match fits the documentation.
