2026 ICD-10-CM Diagnosis Code Z91.410Personal history of adult physical and sexual abuse

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z91

ICD-10-CM Z91.410
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026). 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

ICD-10-CM Code
Z91.410
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of adult physical and sexual abuse
Short Description
Personal history of adult physical and sexual abuse
Same as the full description in the CMS dataset.
Parent Code
Z91.41
Personal history of adult abuse

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ91Personal risk factors, not elsewhere classified
This CodeZ91.410Personal history of adult physical and sexual abuse

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z91.410.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
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

Z91.410 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

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 elder abuse
  • History of victim of elder physical abuse
  • History of victim of elder sexual abuse
  • History of victim of rape as an adult
  • Victim of sexual abuse

Tabular List NotesGuidance

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

Type 1 Excludes

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.

    • History
      • personal (of)
        • abuse
          • adult
            • physical and sexual

Clinical ClassificationClinical

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

CCSR FAC030
Personal history of other disease
Default principal diagnosis: inpatient No · outpatient Yes

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.

ICD-9-CM
V15.41 Hx of physical 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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z91.410Overview

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, 2025 through September 30, 2026.

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.

Is Z91.410 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 personal history of adult physical and sexual abuse on inpatient claims.

What is the ICD-9 equivalent of Z91.410?

Under the General Equivalence Mappings, personal history of adult physical and sexual abuse converts to ICD-9-CM V15.41 (hx of physical abuse). The mapping is approximate, so confirm the match fits the documentation.