Z91.419 — Personal history of unspecified adult abuse
Is Z91.419 billable?
Yes, but Z91.419 is an unspecified code. Z91.419 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, Z91.419 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting Z91.419 — the more specific alternatives are listed below.
Z91.419 at a glance
| Code | Z91.419 |
|---|---|
| Description | Personal history of unspecified adult abuse |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z91.419?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z91.419 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 Z91.419 group to?
Z91.419 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 Z91.419 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z91.419. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Maltreatment › adult › history of
- History › personal › abuse › adult
Excludes2 — not included here — inherited from Z91
The conditions below are not part of Z91.419, but a patient may have both at the same time. When documentation supports it, Z91.419 and the excluded code may both be reported.
Excludes2 — not included here — inherited from Z91.41
The conditions below are not part of Z91.419, but a patient may have both at the same time. When documentation supports it, Z91.419 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 Z91.419 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
How long has Z91.419 existed?
Z91.419 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.