ICDcodes.org
FY2027

Z91.414Personal history of adult intimate partner abuse

Billable

Is Z91.414 billable?

Yes — Z91.414 is billable for FY2027. Z91.414 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z91.414 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z91.414 at a glance

CodeZ91.414
DescriptionPersonal history of adult intimate partner abuse
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z91.414?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z91.414 directly.

Cannot be a principal diagnosis — MCE edit 9

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 Z91.414 group to?

Z91.414 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 Z91.414 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z91.414. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Historypersonalabuseadultintimate partner

Excludes2 — not included here — inherited from Z91

The conditions below are not part of Z91.414, but a patient may have both at the same time. When documentation supports it, Z91.414 and the excluded code may both be reported.

  • contact with and (suspected) exposures hazardous to health (Z77.-)
  • exposure to pollution and other problems related to physical environment (Z77.1-)
  • female genital mutilation status (N90.81-)
  • occupational exposure to risk factors (Z57.-)
  • personal history of physical injury and trauma (Z87.81, Z87.82-)

Excludes2 — not included here — inherited from Z91.41

The conditions below are not part of Z91.414, but a patient may have both at the same time. When documentation supports it, Z91.414 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 Z91.414 is sequenced first depends on the reason for the encounter.

  • any follow-up examination (Z08-Z09)

How long has Z91.414 existed?

Z91.414 first appears in FY2024.

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 Z91.41 family? (5)