2026 ICD-10-CM Diagnosis Code Z69.11Encounter for mental health services for victim of spousal or partner abuse

ICD-10-CM Codes›Z00–Z99›Z69-Z76›Z69

ICD-10-CM Z69.11
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z69.11 is a billable ICD-10-CM diagnosis code for encounter for mental health services for victim of spousal or partner abuse. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor 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
Z69.11
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for mental health services for victim of spousal or partner abuse
Short Description
Encntr for mntl hlth serv for victim of spous or prtnr abuse
Parent Code
Z69.1
Encounter for mental health services for spousal or partner abuse problems

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 CodeZ69.11Encounter for mental health services for victim of spousal or partner abuse

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z69.11.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z69.11 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Encounter for mental health services for victim of spouse or partner neglect
  • Encounter for mental health services for victim of spouse or partner psychological abuse
  • Encounter for mental health services for victim of spouse or partner violence, physical

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Counseling(for)
      • spousal abuse (perpetrator)
        • victim
    • Encounter(with health service) (for)
      • mental health services (for)
        • spousal or partner
          • abuse
            • victim
    • Encounter(with health service) (for)
      • mental health services (for)
        • spousal or partner
          • neglect
            • victim
    • Encounter(with health service) (for)
      • mental health services (for)
        • spousal or partner
          • psychological abuse
            • victim
    • Encounter(with health service) (for)
      • mental health services (for)
        • spousal or partner
          • violence
            • victim (physical)

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 No · outpatient Yes

Patient EducationClinical

Intimate Partner Violence

Intimate partner violence (IPV) is abuse that happens in a romantic relationship. The intimate partner could be a current or former spouse or dating partner. IPV is also known as domestic violence.

The full article covers:

  • What is intimate partner violence (IPV)?
  • Who is affected by intimate partner violence (IPV)?
  • What are the signs that someone is experiencing intimate partner violence (IPV)?
  • What can I do if I am experiencing intimate partner violence (IPV)?
  • How can I help someone who is experiencing intimate partner violence (IPV)?

Read the full article at MedlinePlus

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

Convert Z69.11 to ICD-9-CMHistory

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

ICD-9-CM
V61.11 Cnsl victm partner abuse
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z69.11Overview

Is Z69.11 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for mental health services for victim of spousal or partner abuse on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z69.11 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for mental health services for victim of spousal or partner abuse describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z69.11 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 spousal or partner abuse on inpatient claims.

What is the ICD-9 equivalent of Z69.11?

Under the General Equivalence Mappings, encounter for mental health services for victim of spousal or partner abuse converts to ICD-9-CM V61.11 (cnsl victm partner abuse). The mapping is a direct match.