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ICD-10 Coding for Assault by Person(T74.11XA, T74.11, T74.12)

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Learn about ICD-10 coding for assault by person, including confirmed and suspected cases, documentation requirements, and common pitfalls.

Also known as:
Physical AssaultInterpersonal Violence
Related ICD-10 Code Ranges

Complete code families applicable to Assault by Person

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
T74.11XAAdult physical abuse, confirmed, initial encounter
Y04.0XXAAssault by unarmed fight or brawl, initial encounter
Primary ICD-10-CM Codes
Adult physical abuse, confirmed, initial encounter
T74.11XABillable
Adult physical abuse, confirmed
T74.11
Differential Codes

Alternative codes to consider when ruling out similar conditions

Encounter for examination following alleged adult physical abuseZ04.71

Use when abuse is suspected but not confirmed.

Documentation & Coding Risks

Avoid these common issues when documenting Assault by Person.

Lack of perpetrator documentation

Impact

Clinical: Incomplete patient history, Regulatory: Potential audit issues, Financial: Denied claims due to incomplete coding

Mitigation

Always document perpetrator details when known, Use Y07.- codes appropriately

Misusing Z04.71 for confirmed abuse cases

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data on abuse cases.

Mitigation

Use T74.11XA for confirmed cases, not Z04.71.

Incorrect use of Z04.71

Impact

Using Z04.71 for confirmed abuse cases can lead to audit flags.

Mitigation

Ensure abuse is confirmed before using T74.11XA.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with T74.11XA.