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2025 ICD-10-CM code Z65.4

Victim of crime and terrorism.

A corresponding procedure code must accompany Z65.4 if a procedure is performed. Z codes are primarily used to indicate the reason for an encounter. It's crucial to use this code when the victim status is the main reason for seeking healthcare or when it significantly influences the patient's health condition and treatment plan.If a patient with PTSD or acute stress disorder is also a victim of a crime, both the trauma-related disorder and Z65.4 can be coded to fully capture the situation.

Medical necessity for using Z65.4 is established when the victim status is directly related to the reason for the encounter or substantially influences the patient's health, requiring specific interventions or impacting treatment decisions.

Clinicians should use this code when the victim status is the primary reason for the encounter or significantly influences the patient's health status.Assessment and care may involve addressing psychological trauma, physical injuries, or other related health concerns.

In simple words: This code indicates that the individual has been a victim of a crime, terrorism, or torture.

This code is used to document a patient's status as a victim of crime or terrorism, encompassing various situations like physical assault, robbery, or acts of terror. It is also applicable to victims of torture.It captures the potential health hazards related to these traumatic experiences.

Example 1: A patient presents to the emergency department following a physical assault. They have sustained injuries and are experiencing emotional distress. The code Z65.4 is used to indicate their status as a victim of crime., An individual seeks therapy for ongoing anxiety and nightmares after witnessing a terrorist attack. Z65.4 is used to document the underlying cause of their mental health condition., A refugee arrives at a clinic reporting physical and psychological trauma resulting from torture in their home country. Z65.4 is used to capture their victim status, which necessitates comprehensive medical and psychological evaluation.

Documentation should clearly establish the individual's experience as a victim of crime, terrorism, or torture. Details about the event, nature of injuries, and any associated psychological impact should be recorded.

** This code can be used in conjunction with codes describing specific injuries or psychological conditions resulting from the crime, terrorism, or torture.For instance, it might be used alongside codes for PTSD, anxiety disorders, or physical trauma.Z65.4 is exempt from the Present on Admission (POA) reporting requirement.

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