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    v1.0.28
    OpenPayerBilling CodesOther and unspecified effects of external causesICD-10-CM t74-adult-and-child-abuse
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    ICD-10-CM Code For Adult And Child Abuse Neglect And Other Maltreatment Confirmed: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group T74 includes confirmed diagnoses of adult and child abuse, neglect, and other forms of maltreatment, covering physical, sexual, emotional abuse and neglect with associated injuries or sequelae. These ICD-10-CM diagnosis codes are used to document confirmed instances of maltreatment, capturing severity, associated injuries, and clinical complexity relevant to care and safety interventions. Accurate coding within the ICD-10-CM T74 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM T74: Adult and Child Abuse, Neglect And Other Maltreatment, Confirmed Overview

    The ICD-10-CM T74 code group represents confirmed cases of abuse, neglect, and other forms of maltreatment affecting adults and children, reflecting injury and non-injury consequences of intentional harm. These diagnoses target physical, sexual, emotional abuse and neglect across multiple body systems and psychosocial domains. Accurate coding matters for reimbursement by supporting precise claim adjudication and for public health reporting and protective services coordination.

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    When to Use

    Use a code from this group when maltreatment has been confirmed by clinical evaluation, reporting, or legal findings and the encounter documents care related to that confirmed maltreatment. These codes apply when the clinical record specifies the type of abuse or neglect and any related injuries, complications, or sequelae being treated or evaluated.

    ICD-10-CM Codes

    51 rows

    ICD-10-CM CodeDescription
    T74.01XAAdult neglect or abandonment, confirmed, initial encounter
    T74.01XDAdult neglect or abandonment, confirmed, subsequent encounter
    T74.01XSAdult neglect or abandonment, confirmed, sequela
    T74.02XAChild neglect or abandonment, confirmed, initial encounter
    T74.02XDChild neglect or abandonment, confirmed, subsequent encounter
    T74.02XSChild neglect or abandonment, confirmed, sequela
    T74.11XAAdult physical abuse, confirmed, initial encounter
    T74.11XDAdult physical abuse, confirmed, subsequent encounter
    T74.11XSAdult physical abuse, confirmed, sequela
    T74.12XAChild physical abuse, confirmed, initial encounter
    T74.12XDChild physical abuse, confirmed, subsequent encounter
    T74.12XSChild physical abuse, confirmed, sequela
    T74.21XAAdult sexual abuse, confirmed, initial encounter
    T74.21XDAdult sexual abuse, confirmed, subsequent encounter
    T74.21XSAdult sexual abuse, confirmed, sequela
    T74.22XAChild sexual abuse, confirmed, initial encounter
    T74.22XDChild sexual abuse, confirmed, subsequent encounter
    T74.22XSChild sexual abuse, confirmed, sequela
    T74.31XAAdult psychological abuse, confirmed, initial encounter
    T74.31XDAdult psychological abuse, confirmed, subsequent encounter

    Showing 1–20 of 51

    DRG Codes

    4 rows

    DRG CodeDescription
    922Other Injury, Poisoning and Toxic Effect Diagnoses with MCC
    923Other Injury, Poisoning and Toxic Effect Diagnoses without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to the emergency department with multiple recent injuries including bruises, lacerations, and signs of forced restraint, and during evaluation discloses being physically assaulted by a caregiver. The patient requires acute medical treatment for injuries and forensic documentation; the clinician documents confirmed physical abuse as the cause of the injuries, prompting assignment of a confirmed adult physical abuse code. Typical codes: T74.11XA, T74.11XD
    • A child is brought to a pediatric clinic with failure to thrive, recurrent unexplained infections, and bruising in various stages of healing; after multidisciplinary assessment including social services and protective custody placement, investigators confirm neglect and emotional maltreatment over months. Because this represents ongoing, chronic neglect with harm to the child’s health and development, a confirmed child neglect/maltreatment code is used for the encounter. Typical codes: T74.02XA, T74.02XD
    • An adult with severe anxiety, depression, and posttraumatic stress disorder presents for inpatient psychiatric care after disclosure of long-term sexual abuse by a former partner; the abuse has been confirmed and is documented as the underlying cause contributing to the psychiatric decompensation and inpatient treatment. A confirmed adult sexual abuse code is assigned in addition to mental health diagnoses to capture the etiology and need for protective interventions. Typical codes: T74.21XA, T74.21XD

    Related Codes

    T66-RADIATION-SICKNESS-UNSPECIFIED

    ICD-10-CM Code For Radiation Sickness Unspecified: Group Overview

    T67-EFFECTS-OF-HEAT-AND-LIGHT

    ICD-10-CM Code For Effects Of Heat And Light: Group Overview

    T68-HYPOTHERMIA

    ICD-10-CM Code For Hypothermia: Group Overview

    T69-OTHER-EFFECTS-OF-REDUCED-TEMPERATURE

    ICD-10-CM Code For Other Effects Of Reduced Temperature: Group Overview

    T70-EFFECTS-OF-AIR-PRESSURE

    ICD-10-CM Code For Effects Of Air Pressure And Water Pressure: Group Overview

    T71-ASPHYXIATION-AND-RELATED-CONDITIONS

    ICD-10-CM Code For Asphyxiation: Group Overview

    T75-OTHER-AND-UNSPECIFIED-EFFECTS

    ICD-10-CM Code For Other And Unspecified Effects Of Other External Causes: Group Overview

    T76-ADULT-AND-CHILD-ABUSE-NEGLECT

    ICD-10-CM Code For Adult And Child Abuse Neglect And Other Maltreatment Suspected: Group Overview

    T78-ADVERSE-EFFECTS-NOT-ELSEWHERE-CLASSIFIED

    ICD-10-CM Code For Adverse Effects Not Elsewhere Classified: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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