What is the ICD-10 code for confirmed domestic violence?

The ICD-10 code for confirmed adult physical abuse is T74.11XA, used when abuse is clinically confirmed.

How do you code suspected domestic violence?

Use T76.- codes for suspected domestic violence when abuse has not been confirmed.

ICD-10 Coding for Domestic Violence(T74.11XA, T74.11, T74.1)

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Explore the ICD-10 codes for domestic violence, including confirmed and suspected cases. Learn about documentation requirements and coding pitfalls.

Also known as:

Intimate Partner ViolenceSpousal AbuseFamily Violence

Related ICD-10 Code Ranges

Complete code families applicable to Domestic Violence

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

Code	Description	When to Use	Key Documentation
T74.11XA	Adult physical abuse, confirmed, initial encounter	Use when physical abuse is confirmed by clinical evaluation or social work assessment.	Corroborating witness or social worker note Injury inconsistent with history Perpetrator admission
Z63.0	Problems in relationship with spouse or partner	Use for relationship issues impacting health without confirmed abuse.	Documentation of relationship stress affecting health

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

Suspected adult physical abuse, initial encounterT76.11

Confirmed abuse codesT74.1

Documentation & Coding Risks

Avoid these common issues when documenting Domestic Violence.

Using general assault codes for domestic violence

Impact

Clinical: Misrepresentation of the nature of the injury., Regulatory: Potential for audit issues., Financial: Incorrect reimbursement rates.

Mitigation

Ensure documentation specifies relationship to perpetrator, Use Y07.- codes for perpetrator details

Mixing confirmed and suspected abuse codes

Impact

Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on abuse prevalence.

Mitigation

Use T74.- for confirmed cases and T76.- for suspected cases only.

Inconsistent documentation

Impact

Lack of detailed documentation can lead to audit flags.

Mitigation

Ensure comprehensive documentation including patient statements and corroborating evidence.

Frequently Asked Questions

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

Primary Code

T74.11XA

Adult physical abuse, confirmed, initial encounter

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ICD-10 codes12

Coding risks3

FAQs2

ICD-10 Coding for Domestic Violence(T74.11XA, T74.11, T74.1)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for confirmed domestic violence?

How do you code suspected domestic violence?

Related condition guides