T74.1 — Physical abuse, confirmed
Is T74.1 billable?
No — T74.1 is a non-billable header code. T74.1 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 6 billable codes beneath T74.1.
Billable codes under this header
- 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
T74.1 at a glance
| Code | T74.1 |
|---|---|
| Description | Physical abuse, confirmed |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here
The conditions below are not part of T74.1, but a patient may have both at the same time. When documentation supports it, T74.1 and the excluded code may both be reported.
- sexual abuse (T74.2-)
Excludes1 — never code together — inherited from T74
The conditions below can never be reported together with T74.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 19
Report an additional code alongside T74.1 to fully describe the condition. T74.1 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T74
Report an additional code alongside T74.1 to fully describe the condition. T74.1 is sequenced first.
- code, if applicable, to identify any associated current injury
- external cause code to identify perpetrator, if known (Y07.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T74.1, but a patient may have both at the same time. When documentation supports it, T74.1 and the excluded code may both be reported.
Code also — inherited from T66-T78
Two codes may be needed to describe the condition fully. Whether T74.1 is sequenced first depends on the reason for the encounter.
- , if applicable, place of occurrence, such as:
- highway rest stop (Y92.523)
- school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
- service areas as the place of occurrence of the external cause (Y92.52-)
- single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
- transport vehicle as the place of occurrence of the external cause (Y92.81-)
What codes fall under T74.1? (2)
How long has T74.1 existed?
T74.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the T74 family? (8)
- T74.0Neglect or abandonment, confirmednot billable
- T74.2Sexual abuse, confirmednot billable
- T74.3Psychological abuse, confirmednot billable
- T74.4Shaken infant syndromenot billable
- T74.5Forced sexual exploitation, confirmednot billable
- T74.6Forced labor exploitation, confirmednot billable
- T74.9Unspecified maltreatment, confirmednot billable
- T74.AFinancial abuse, confirmednot billable