Z04.72 — Encounter for examination and observation following alleged child physical abuse
Is Z04.72 billable?
Yes — Z04.72 is billable for FY2027. Z04.72 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z04.72 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z04.72 at a glance
| Code | Z04.72 |
|---|---|
| Description | Encounter for examination and observation following alleged child physical abuse |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Z04.72 group to?
Z04.72 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 951Other Factors Influencing Health Statusmedical
How is Z04.72 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z04.72. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Examination › abuse, physical, ruled out › child (for) (following) (general) (of) (routine)
- Observation › suspected, ruled out › child battering victim (following) (for) (without need for further medical care)
- Examination › following › assault, alleged, ruled out › child (for) (following) (general) (of) (routine)
- Observation › suspected, ruled out › abuse, physical › child (following) (for) (without need for further medical care)
Excludes1 — never code together
The conditions below can never be reported together with Z04.72 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Inclusion terms
Alternative wording in documentation that is classified to Z04.72.
- Suspected child physical abuse, ruled out
Excludes2 — not included here — inherited from Z00-Z13
The conditions below are not part of Z04.72, but a patient may have both at the same time. When documentation supports it, Z04.72 and the excluded code may both be reported.
How long has Z04.72 existed?
Z04.72 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.