2025 ICD-10-CM code T74.11
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Adult physical abuse, confirmed Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
This code classifies confirmed cases of physical abuse in adults.
Modifiers are not applicable to ICD-10-CM codes.
Medical necessity for coding T74.11 is established by the documented evidence of physical abuse, including the nature and extent of injuries and the confirmation of the diagnosis through medical evaluation.
The clinical responsibility for coding T74.11 falls on the physician or qualified healthcare professional who has examined the patient and confirmed the diagnosis of physical abuse. They must properly document the findings to support the code assignment.This includes evidence of the abuse, injuries sustained, and any other relevant medical information.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- T74 (Adult and child abuse, neglect and other maltreatment, confirmed)
In simple words: This code is for when a doctor confirms that an adult has been physically abused.The doctor will need proof of the abuse to use this code.
T74.11 is an ICD-10-CM code used to classify instances of confirmed physical abuse in adult patients.This code is used when physical abuse has been verified through investigation or medical examination.It's crucial to document the evidence supporting the diagnosis.Additional codes may be necessary to specify the nature and location of injuries, as well as to identify the perpetrator if known.This code is part of the broader category of injuries, poisonings, and other consequences of external causes.
Example 1: A 60-year-old woman is admitted to the hospital with multiple bruises and a fractured arm, consistent with physical abuse.After investigation and confirmation, the physician codes T74.11., A 35-year-old man presents to the emergency room with injuries indicative of domestic violence. Medical evaluation confirms physical abuse, and T74.11 is documented., A social worker reports suspected physical abuse in an elderly patient living in a nursing home. The physician conducts an assessment, finds evidence consistent with the report, and assigns T74.11.
Comprehensive documentation is essential and should include a detailed history of the event, a physical examination documenting injuries with location and severity, photographic evidence of injuries if applicable, and any statements from the patient, witnesses or law enforcement.A clear statement confirming the diagnosis of physical abuse is required.
** Always ensure that the diagnosis of physical abuse is confirmed before assigning this code.Use additional codes to specify any related injuries and conditions.Proper documentation is critical for accurate coding and reimbursement.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
- RVU: RVUs are not directly assigned to ICD-10 codes. Reimbursement is determined by the procedures and services rendered, which would utilize CPT or HCPCS codes that have associated RVUs.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10-CM codes.
- Fee Schedule: Not applicable to ICD-10-CM codes.
- Specialties:Emergency Medicine, Family Medicine, Internal Medicine, Geriatrics, Social Work
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital, Urgent Care Facility