2027 ICD-10-CM Diagnosis Code Z91.410Personal history of adult physical and sexual abuse
Z91.410 is a billable ICD-10-CM diagnosis code for personal history of adult physical and sexual 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 adult patients (age 15 through 124), not accepted as a principal diagnosis, and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z91.410.
Present on Admission (POA)Billing
Z91.410 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- History of adulthood abuse
- History of adulthood physical abuse
- History of adulthood sexual abuse
- History of intimate partner physical abuse
- History of intimate partner sexual abuse
- History of rape
- History of victim of domestic sexual abuse
- History of victim of elder abuse
- History of victim of elder physical abuse
- History of victim of elder sexual abuse
- History of victim of non-domestic adult physical abuse
- History of victim of physical abuse
- History of victim of rape as an adult
- History of victim of sexual abuse
- Victim of sexual abuse
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z91.410: its own notes plus those printed at Z91.41, Z91, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- personal history of abuse in childhood (Z62.81-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
personal (of) See Also: History, family (of);
physical and sexual Z91.410
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Sexual Assault
Sexual assault is any kind of sexual activity, contact, or experience that happens without your consent. That means the sexual activity happens even though you don't agree to it.
The full article covers:
- What is sexual assault?
- What does sexual assault include?
- What does "consent" mean?
- Who commits sexual assault?
- What are the possible health effects from sexual assault?
- What can I do if I'm a victim of sexual assault?
- Can sexual assault be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z91.410 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z91.410Overview
What is the ICD-10 code for personal history of adult physical and sexual abuse?
The ICD-10-CM code for personal history of adult physical and sexual abuse is Z91.410 (sometimes written as Z91410). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z91.410 (Personal history of adult abuse) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report personal history of adult physical and sexual abuse on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z91.410 group to?
On inpatient claims, personal history of adult physical and sexual 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 Z91.410 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of adult physical and sexual abuse describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Who can Z91.410 be reported for?
The Medicare Code Editor checks personal history of adult physical and sexual abuse against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.
