Z91.410 — Personal history of adult physical and sexual abuse
Is Z91.410 billable?
Yes — Z91.410 is billable for FY2027. Z91.410 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z91.410 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z91.410 at a glance
| Code | Z91.410 |
|---|---|
| Description | Personal history of adult physical and sexual abuse |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z91.410?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z91.410 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 Z91.410 group to?
Z91.410 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 Z91.410 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z91.410. They show the wording a clinician may have documented, which often differs from the Tabular description.
- History › personal › abuse › adult › physical and sexual
Excludes1 — never code together
The conditions below can never be reported together with Z91.410 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Z91
The conditions below are not part of Z91.410, but a patient may have both at the same time. When documentation supports it, Z91.410 and the excluded code may both be reported.
Excludes2 — not included here — inherited from Z91.41
The conditions below are not part of Z91.410, but a patient may have both at the same time. When documentation supports it, Z91.410 and the excluded code may both be reported.
- personal history of abuse in childhood (Z62.81-)
Code also — inherited from Z77-Z99
Two codes may be needed to describe the condition fully. Whether Z91.410 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z91.410 existed?
Z91.410 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.