Z69.11 — Encounter for mental health services for victim of spousal or partner abuse
Is Z69.11 billable?
Yes — Z69.11 is billable for FY2027. Z69.11 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z69.11 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z69.11 at a glance
| Code | Z69.11 |
|---|---|
| Description | Encounter for mental health services for victim of spousal or partner abuse |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z69.11?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z69.11 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does Z69.11 group to?
Z69.11 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 Z69.11 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z69.11. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Counseling › spousal abuse › victim (for)
- Encounter › mental health services › spousal or partner › abuse › victim (with health service) (for)
- Encounter › mental health services › spousal or partner › neglect › victim (with health service) (for)
- Encounter › mental health services › spousal or partner › psychological abuse › victim (with health service) (for)
- Encounter › mental health services › spousal or partner › violence › victim (with health service) (for)
Inclusion terms
Alternative wording in documentation that is classified to Z69.11.
- Encounter for mental health services for victim of spouse or partner neglect
- Encounter for mental health services for victim of spouse or partner psychological abuse
- Encounter for mental health services for victim of spouse or partner violence, physical
How long has Z69.11 existed?
Z69.11 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.