Adult and child abuse, neglect and other maltreatment, confirmed (T74)

Browse all the diagnosis codes used for adult and child abuse, neglect and other maltreatment, confirmed (t74). For easy navigation, the diagnosis codes are sorted in alphabetical order and grouped by sections. Each section is clearly marked with its description, and the corresponding three-digit code range. This format makes it simple to browse diagnosis codes in this chapter or section and find what you're looking for. We've also added green checkmark icons to label billable codes, and red warning icons for non-billable ones. This makes it easy to identify which codes can be billed.

Clinical Information

Adult Survivors of Child Abuse - Persons who were child victims of violence and abuse including physical, sexual, or emotional maltreatment.

Child Abuse - Abuse of children in a family, institutional, or other setting. (APA, Thesaurus of Psychological Index Terms, 1994)

Child Abuse, Sexual - Sexual maltreatment of the child or minor.

Domestic Violence - Deliberate, often repetitive physical, verbal, and/or other types of abuse by one or more members against others of a household.

Emotional Abuse - Nonphysical abuse as defined as a pattern of behavior in which one person deliberately and repeatedly subjects another to nonphysical acts that are detrimental to behavioral and affective functioning and overall mental well-being. (APA Dictionary of Psychology, accessed 4/21/2020).

Incest - Sexual intercourse between persons so closely related that they are forbidden by law to marry.

Physical Abuse - Violence inflicted on an individual through physical contact.

Psychosocial Deprivation - The absence of appropriate stimuli in the physical or social environment which are necessary for the emotional, social, and intellectual development of the individual.

Sexual Harassment - A form of discrimination in the workplace which violates the Civil Rights Act of 1964. Offensive sexual conduct may include unwelcome advances, comments, touching, questions about marital status and sex practices, etc. Both men and women may be aggressors or victims. (Slee and Slee, Health Care Terms, 2d ed, p.404). While civil rights legislation deals with sexual harassment in the workplace, the behavior is not restricted to this; it may take place outside the work environment: in schools, athletics, and other social milieus and activities.

Shaken Baby Syndrome - Brain injuries resulted from vigorous shaking of an infant or young child held by the chest, shoulders, or extremities causing extreme cranial acceleration. It is characterized by the intracranial and intraocular hemorrhages with no evident external trauma. Serious cases may result in death.

Social Isolation - The separation of individuals or groups resulting in the lack of or minimizing of social contact and/or communication. This separation may be accomplished by physical separation, by social barriers and by psychological mechanisms. In the latter, there may be interaction but no real communication.

Instructional Notations

Use Additional Code

The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

  • code, if applicable, to identify any associated current injury

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • abuse and maltreatment in pregnancy O9A.3 O9A.4 O9A.5
  • adult and child maltreatment, suspected T76

7th Character Note

Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

  • The appropriate 7th character is to be added to each code from category T74

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela
  • Injury, poisoning and certain other consequences of external causes (S00–T88)

    • Other and unspecified effects of external causes (T66-T78)

        • Adult and child abuse, neglect and other maltreatment, confirmed (T74)

        • T74 Adult and child abuse, neglect and other maltreatment, confirmed
        • T74.0 Neglect or abandonment, confirmed
        • T74.01 Adult neglect or abandonment, confirmed
        • T74.01XA Adult neglect or abandonment, confirmed, initial encounter
        • T74.01XD Adult neglect or abandonment, confirmed, subsequent encounter
        • T74.01XS Adult neglect or abandonment, confirmed, sequela
        • T74.02 Child neglect or abandonment, confirmed
        • T74.02XA Child neglect or abandonment, confirmed, initial encounter
        • T74.02XD Child neglect or abandonment, confirmed, subsequent encounter
        • T74.02XS Child neglect or abandonment, confirmed, sequela
        • T74.1 Physical abuse, confirmed
        • T74.11 Adult physical abuse, confirmed
        • T74.11XA Adult physical abuse, confirmed, initial encounter
        • T74.11XD Adult physical abuse, confirmed, subsequent encounter
        • T74.11XS Adult physical abuse, confirmed, sequela
        • T74.12 Child physical abuse, confirmed
        • T74.12XA Child physical abuse, confirmed, initial encounter
        • T74.12XD Child physical abuse, confirmed, subsequent encounter
        • T74.12XS Child physical abuse, confirmed, sequela
        • T74.2 Sexual abuse, confirmed
        • T74.21 Adult sexual abuse, confirmed
        • T74.21XA Adult sexual abuse, confirmed, initial encounter
        • T74.21XD Adult sexual abuse, confirmed, subsequent encounter
        • T74.21XS Adult sexual abuse, confirmed, sequela
        • T74.22 Child sexual abuse, confirmed
        • T74.22XA Child sexual abuse, confirmed, initial encounter
        • T74.22XD Child sexual abuse, confirmed, subsequent encounter
        • T74.22XS Child sexual abuse, confirmed, sequela
        • T74.3 Psychological abuse, confirmed
        • T74.31 Adult psychological abuse, confirmed
        • T74.31XA Adult psychological abuse, confirmed, initial encounter
        • T74.31XD Adult psychological abuse, confirmed, subsequent encounter
        • T74.31XS Adult psychological abuse, confirmed, sequela
        • T74.32 Child psychological abuse, confirmed
        • T74.32XA Child psychological abuse, confirmed, initial encounter
        • T74.32XD Child psychological abuse, confirmed, subsequent encounter
        • T74.32XS Child psychological abuse, confirmed, sequela
        • T74.4 Shaken infant syndrome
        • T74.4XXA Shaken infant syndrome, initial encounter
        • T74.4XXD Shaken infant syndrome, subsequent encounter
        • T74.4XXS Shaken infant syndrome, sequela
        • T74.5 Forced sexual exploitation, confirmed
        • T74.51 Adult forced sexual exploitation, confirmed
        • T74.51XA Adult forced sexual exploitation, confirmed, initial encounter
        • T74.51XD Adult forced sexual exploitation, confirmed, subsequent encounter
        • T74.51XS Adult forced sexual exploitation, confirmed, sequela
        • T74.52 Child sexual exploitation, confirmed
        • T74.52XA Child sexual exploitation, confirmed, initial encounter
        • T74.52XD Child sexual exploitation, confirmed, subsequent encounter
        • T74.52XS Child sexual exploitation, confirmed, sequela
        • T74.6 Forced labor exploitation, confirmed
        • T74.61 Adult forced labor exploitation, confirmed
        • T74.61XA Adult forced labor exploitation, confirmed, initial encounter
        • T74.61XD Adult forced labor exploitation, confirmed, subsequent encounter
        • T74.61XS Adult forced labor exploitation, confirmed, sequela
        • T74.62 Child forced labor exploitation, confirmed
        • T74.62XA Child forced labor exploitation, confirmed, initial encounter
        • T74.62XD Child forced labor exploitation, confirmed, subsequent encounter
        • T74.62XS Child forced labor exploitation, confirmed, sequela
        • T74.9 Unspecified maltreatment, confirmed
        • T74.91 Unspecified adult maltreatment, confirmed
        • T74.91XA Unspecified adult maltreatment, confirmed, initial encounter
        • T74.91XD Unspecified adult maltreatment, confirmed, subsequent encounter
        • T74.91XS Unspecified adult maltreatment, confirmed, sequela
        • T74.92 Unspecified child maltreatment, confirmed
        • T74.92XA Unspecified child maltreatment, confirmed, initial encounter
        • T74.92XD Unspecified child maltreatment, confirmed, subsequent encounter
        • T74.92XS Unspecified child maltreatment, confirmed, sequela
        • T74.A Financial abuse, confirmed
        • T74.A1 Adult financial abuse, confirmed
        • T74.A1XA Adult financial abuse, confirmed, initial encounter
        • T74.A1XD Adult financial abuse, confirmed, subsequent encounter
        • T74.A1XS Adult financial abuse, confirmed, sequela
        • T74.A2 Child financial abuse, confirmed
        • T74.A2XA Child financial abuse, confirmed, initial encounter
        • T74.A2XD Child financial abuse, confirmed, subsequent encounter
        • T74.A2XS Child financial abuse, confirmed, sequela