T74.4XXD — Shaken infant syndrome, subsequent encounter
Is T74.4XXD billable?
Yes — T74.4XXD is billable for FY2027. T74.4XXD is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T74.4XXD may be submitted for encounters from October 1, 2026 through September 30, 2027.
T74.4XXD at a glance
| Code | T74.4XXD |
|---|---|
| Description | Shaken infant syndrome, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in T74.4XXD?
In T74.4XXD, the 7th character D means subsequent encounter. The 7th character is required for T74.4XXD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T74.4XXD group to?
T74.4XXD sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is T74.4XXD listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T74.4, the nearest indexed parent of T74.4XXD. Use them to find the family, then select the specific code.
- Syndrome › shaken infant
Excludes1 — never code together — inherited from T74
The conditions below can never be reported together with T74.4XXD 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 T74.4XXD to fully describe the condition. T74.4XXD is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T74
Report an additional code alongside T74.4XXD to fully describe the condition. T74.4XXD 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 T74.4XXD, but a patient may have both at the same time. When documentation supports it, T74.4XXD 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 T74.4XXD 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-)
How long has T74.4XXD existed?
T74.4XXD 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.