2025 ICD-10-CM code T74
Adult and child abuse, neglect and other maltreatment, confirmed.
Medical necessity for T74 is established when the documentation clearly supports the diagnosis of confirmed adult or child abuse, neglect, or other maltreatment. The documentation must demonstrate that the patient's condition is a direct result of the abuse or neglect, and that medical intervention is necessary to address the resulting physical or psychological harm.
Adult and child abuse, neglect and other maltreatment, confirmed. Use additional code, if applicable, to identify any associated current injury. Use additional external cause code to identify perpetrator, if known (Y07.-). Excludes1: abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-) and adult and child maltreatment, suspected (T76.-).
Example 1: A 5-year-old child presents with multiple bruises in various stages of healing and a fractured arm. Upon examination and further investigation, physical abuse is confirmed., A 70-year-old woman is admitted to the hospital with severe malnutrition and dehydration. It is determined that her caregiver has been neglecting her basic needs, confirming adult neglect., An adult patient reports experiencing sexual assault. After a thorough examination and investigation, the assault is confirmed.
Detailed medical history, including the nature and duration of the abuse or neglect. Complete physical examination findings, documenting any injuries or physical signs of neglect. Diagnostic test results, if applicable (e.g., X-rays, lab tests). Social worker evaluation and documentation, if available. Law enforcement reports, if applicable.
- Specialties:Pediatrics, Emergency Medicine, Family Medicine, Geriatrics, Social Work
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office, Outpatient Hospital, Home,Nursing Facility