2027 ICD-10-CM Diagnosis Code Z91.411Personal history of adult psychological abuse

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z91

ICD-10-CM Z91.411
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z91.411 is a billable ICD-10-CM diagnosis code for personal history of adult psychological 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. Coders also document this condition as history of adulthood psychological abuse. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.

Code Identity

ICD-10-CM Code
Z91.411
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of adult psychological abuse
Short Description
Personal history of adult psychological 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 CodeZ91.411Personal history of adult psychological abuse

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z91.411.

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

Z91.411 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 psychological abuse
  • History of intimate partner emotional abuse
  • History of victim of elder abuse
  • History of victim of elder emotional abuse
  • History of victim of elder financial abuse
  • History of victim of elder psychological abuse
  • History of victim of emotional abuse

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z91.411: 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.

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.

From Z91.41 Personal history of adult abuse applies to 6 codes
  • personal history of abuse in childhood (Z62.81-)
From Z91 Personal risk factors, not elsewhere classified applies to 62 codes
  • contact with and (suspected) exposures hazardous to health (Z77.-)
  • exposure to pollution and other problems related to physical environment (Z77.1-)
  • female genital mutilation status (N90.81-)
  • occupational exposure to risk factors (Z57.-)
  • personal history of physical injury and trauma (Z87.81, Z87.82-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status applies to 567 codes
  • any follow-up examination (Z08-Z09)

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.

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

Convert Z91.411 to ICD-9-CMHistory

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

ICD-9-CM
V15.42 Hx of emotional 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 Z91.411Overview

What is the ICD-10 code for personal history of adult psychological abuse?

The ICD-10-CM code for personal history of adult psychological abuse is Z91.411 (sometimes written as Z91411). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z91.411 (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 psychological abuse on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z91.411 group to?

On inpatient claims, personal history of adult psychological 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 Z91.411 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of adult psychological abuse describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Who can Z91.411 be reported for?

The Medicare Code Editor checks personal history of adult psychological abuse against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.