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Home/Diagnosis/ICD-10 Coding for Child Abuse and Neglect

ICD-10 Coding for Child Abuse and Neglect

T74.12XA
T76.12XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for child abuse and neglect includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Child Maltreatment
Child Abuse
Child Neglect
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Key Information: ICD-10 Coding for Child Abuse and Neglect

Essential facts and insights about ICD-10 Coding for Child Abuse and Neglect

Use ICD-10 code T74.12XA for child physical abuse, confirmed, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Child physical abuse, confirmed, initial encounter

Billable Code
T74.12XA
Billable

Diagnostic Criteria

clinical:
  • • Confirmed abuse by CPS or medical evaluation
coding:
  • • Sequence T74.12XA before injury codes

Applicable To

  • • Confirmed physical abuse of child

Important Notes

  • • Ensure proper sequencing with T74 codes first, followed by injury and external cause codes.

Child physical abuse, suspected, initial encounter

Billable Code
T76.12XA
Billable

Diagnostic Criteria

clinical:
  • • Documentation of suspicion pending investigation

Applicable To

  • • Suspected physical abuse of child

Important Notes

  • • Ensure documentation supports suspicion and is updated if status changes.
Ancillary Codes

Additional codes that may be used with this diagnosis

S42.301A

Spiral fracture of humerus

Use to document specific injuries resulting from abuse.

Frequently Asked Questions

How do you code confirmed child abuse?

Use T74.12XA for confirmed child physical abuse, ensuring it is sequenced before injury codes and includes external cause codes.

What is the difference between T74 and T76 codes?

T74 codes are for confirmed abuse cases, while T76 codes are used when abuse is suspected but not confirmed.

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