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Home/Diagnosis/ICD-10 Coding for Assault

ICD-10 Coding for Assault

T74.12XA
Y07.03

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

Also Known as:
Physical abuse
Battery
Violent attack
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Key Information: ICD-10 Coding for Assault

Essential facts and insights about ICD-10 Coding for Assault

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

Primary ICD-10-CM Codes

Adult physical abuse, confirmed, initial encounter

Billable Code
T74.12XA
Billable

Diagnostic Criteria

documentation_criteria:
  • • Explicit confirmation of abuse in the medical record
applicable_to:
  • • Confirmed adult physical abuse
excludes:
  • • Suspected adult physical abuse (T76.12XA)
validation:
  • • Documented confirmation of abuse by clinical or legal evaluation
  • • Corroborating evidence such as police or CPS reports

Important Notes

  • • Ensure documentation clearly states 'confirmed' abuse to use this code.

Perpetrator of maltreatment and neglect, male partner

Non-Billable
Y07.03
Non-Billable

Diagnostic Criteria

applicable_to:
  • • Assault by male partner
excludes:
  • • Assault by female partner (Y07.02)
validation:
  • • Documentation of the perpetrator's relationship to the victim

Important Notes

  • • Ensure the relationship is clearly documented in the patient's record.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y04.2XXA

Assault by striking with fist, initial encounter

Use to specify the mechanism of assault in confirmed cases.

Frequently Asked Questions

What is the ICD-10 code for confirmed assault?

The ICD-10 code for confirmed adult physical abuse is T74.12XA, used when abuse is confirmed by clinical or legal evaluation.

How do you code suspected assault?

Use T76.1- codes for suspected abuse cases where confirmation is not yet established.

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