{"code":"T74.11","type":"category","title":"Adult physical abuse, confirmed","codeAlso":[", if applicable, place of occurrence, such as:","highway rest stop (Y92.523)","school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)","service areas as the place of occurrence of the external cause (Y92.52-)","single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)","transport vehicle as the place of occurrence of the external cause (Y92.81-)"],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)","adult and child maltreatment, suspected (T76.-)"],"excludes2":["sexual abuse (T74.2-)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"inclusionTerms":[],"useAdditionalCode":["code, if applicable, to identify any associated current injury","external cause code to identify perpetrator, if known (Y07.-)"],"clinicalDefinition":"Adult physical abuse, confirmed is a non-billable ICD-10-CM category code (T74.11). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-); adult and child maltreatment, suspected (T76.-). Excludes2 (not included here): sexual abuse (T74.2-). Use additional code: code, if applicable, to identify any associated current injury; external cause code to identify perpetrator, if known (Y07.-).","officialDefinition":"Adult physical abuse, confirmed is a non-billable ICD-10-CM category code (T74.11). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-); adult and child maltreatment, suspected (T76.-). Excludes2 (not included here): sexual abuse (T74.2-). Use additional code: code, if applicable, to identify any associated current injury; external cause code to identify perpetrator, if known (Y07.-). Code also: , if applicable, place of occurrence, such as:; highway rest stop (Y92.523); school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-); service areas as the place of occurrence of the external cause (Y92.52-); single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-); transport vehicle as the place of occurrence of the external cause (Y92.81-). 7th character: The appropriate 7th character is to be added to each code from category T74.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category T74"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)":"T74","adult and child maltreatment, suspected (T76.-)":"T74","code, if applicable, to identify any associated current injury":"T74","external cause code to identify perpetrator, if known (Y07.-)":"T74","sexual abuse (T74.2-)":"T74.1"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}