Help: FAQs, tutorials, videos, page index and more
Viewing:  Sep 20, 2019

Abuse, Neglect, or Maltreatment

By:  Wyn Staheli
Published:  January 3rd, 2018

According to the official ICD-10-CM Guidelines, in situations of maltreatment (e.g., adult and child abuse, neglect, etc.), the sequence of coding is important. Regardless of whether it is suspected or confirmed, it is important to document the type of abuse. Use the following sequence:

  1. An appropriate code from category T74- (confirmed) or T76- (suspected)
  2. Any accompanying mental health or injury code(s) related to the abuse
  3. An external cause code, where applicable, (X92-Y09) to identify the cause of any physical injuries
  4. A perpetrator code (Y07-) if known

Tips:

  • For cases of confirmed abuse or neglect (T74-), add an external cause code from the assault section (X92-Y09).
  • There are Quality Measures codes (e.g., G8733-G8735) for documenting an Elder Maltreatment Screening which may be reported for payers like Medicare.

Add a Perpetrator Code (Y07-) If Known

For cases of confirmed abuse (T74-), add a perpetrator code (Y07-) if the perpetrator of the abuse is known. Do not report a perpetrator code with a suspected case of abuse (T76-).

What to Code When a Suspected Case of Abuse is Ruled Out

If a suspected case of abuse, neglect, or mistreatment (T76-) is ruled out during an encounter, use a (Z04-) code instead, indicating the suspicion has been ruled out:

Z04.4- Encounter for examination and observation following alleged rape
Z04.7- Encounter for examination and observation following alleged physical abuse


References:

###

Article Tags  (click on a tag to see related articles)



Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


Our contact information

Find A Code, LLC
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Fax: 801-770-4428
Email:
Free 14 Day Trial
No Credit Card Required
Pricing
Starting at $10/month
Sign In
Welcome back!