2024 ICD-10-CM Diagnosis Code Z04.71

Encounter for examination and observation following alleged adult physical abuse

ICD-10-CM Code:
Z04.71
ICD-10 Code for:
Encntr for exam and obs fol alleged adult physical abuse
Is Billable?
Yes - Valid for Submission
Code Navigator:

Code Classification

  • Factors influencing health status and contact with health services
    (Z00–Z99)
    • Persons encountering health services for examinations
      (Z00-Z13)
      • Encounter for examination and observation for other reasons
        (Z04)

Z04.71 is a billable diagnosis code used to specify a medical diagnosis of encounter for examination and observation following alleged adult physical abuse. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

The code Z04.71 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

Clinical Classification

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Suspected adult physical abuse, ruled out

Type 1 Excludes

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.
  • confirmed case of adult physical abuse T74
  • encounter for examination and observation following alleged adult sexual abuse Z04.41
  • suspected case of adult physical abuse, not ruled out T76

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • 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).

Convert Z04.71 to ICD-9-CM

  • ICD-9-CM Code: V71.81 - Observe-abuse & neglect
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Intimate Partner Violence

What is intimate partner violence (IPV)?

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.

IPV may include different types of abuse, such as:

  • Physical violence, when a person hurts or tries to hurt a partner by hitting, kicking, or using another type of physical force.
  • Sexual violence which involves forcing or attempting to force a partner to take part in sexual activity when the partner does not or cannot consent. The sexual activity could include things like sex acts, sexual touching, or non-physical sexual events (e.g., sexting).
  • Emotional abuse, which includes threats, name-calling, put-downs, and humiliation. It can also involve controlling behavior, such as telling a partner how to act or dress and not letting them see family or friends.
  • Economic abuse, also called financial abuse, which involves controlling access to money.
  • Stalking, which is repeated, unwanted contact that causes fear or concern for the safety of the partner. This can include watching or following the partner. The stalker may send repeated, unwanted phone calls or texts.

Who is affected by intimate partner violence (IPV)?

It is hard to know exactly how common IPV is because it is often not reported.

But we do know that anyone can be affected by it. IPV can happen to anyone. It affects people with all levels of income and education.

What are the signs that someone is experiencing intimate partner violence (IPV)?

If you think that a loved one might be experiencing IPV, watch for these signs:

Does your friend or loved one:

  • Have unexplained cuts or bruises?
  • Avoid friends, family, and favorite activities?
  • Make excuses for their partner's behavior?
  • Look uncomfortable or fearful around their partner?

Does your friend or loved one's partner:

  • Yell at or make fun of them?
  • Try to control them by making all the decisions?
  • Check up on them at work or school?
  • Force them to do sexual things they don't want to do?
  • Threaten to hurt themself if the partner wants to break up?

What can I do if I am experiencing intimate partner violence (IPV)?

Your safety is the most important concern. If you are in immediate danger, call 911.

If you are not in immediate danger, you can:

  • Get medical care if you have been injured or sexually assaulted.
  • Call a helpline for free, anonymous help. You can contact the National Domestic Violence Hotline at 800-799-SAFE (7233) or 800-787-3224 (TTY). You can also chat with them through their website or through text by texting START to 88788.
  • Find out where to get help in your community. Contact local organizations that can help you.
  • Make a safety plan to leave. Intimate partner violence usually does not get better. Think about a safe place for you to go and all of the things that you will need when you leave.
  • Save the evidence. Keep evidence of abuse, such as pictures of your injuries or threatening emails or texts. Make sure that it is in a safe place the abuser cannot access.
  • Talk to someone you trust, such as a family member, a friend, a co-worker, or a spiritual leader.
  • Consider getting a restraining order to protect yourself.

How can I help someone who is experiencing intimate partner violence (IPV)?

Let your loved one know that being treated this way isn't healthy and that they are not to blame. You should:

  • Call 911 if there is immediate danger.
  • Watch for the signs of abuse. Learn about the signs and keep track of the ones that you see.
  • Find out about local resources. Get the addresses and phone numbers of some local resources in your community. Then you'll be able to share the information if the person is ready for it.
  • Set up a time to talk. Make sure you can have your conversation in a safe, private place. Your loved one's partner may have access to his or her cell phone or computer, so be careful about sharing information over text or email.
  • Be specific about why you are worried. Describe the behaviors that concern you. Be as specific as possible when explaining why you are worried.
  • Plan for safety. If your loved one is ready to leave an abusive partner, help make a plan for getting out of the relationship as safely as possible. An intimate partner violence counselor can help with making a safety plan.
  • Be patient and do not judge. You should talk about your concerns with your loved one, but you need to understand that they may not be ready to talk about it. Let them know that you're available to talk at any time, and that you will listen without judging them.

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.