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O9A.5 vs T74.92XA

O9A.5 (Psychological abuse complicating pregnancy, childbirth and the puerperium) compared with T74.92XA (Unspecified child maltreatment, confirmed, initial encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. T74.92XA carries an Excludes1 note covering O9A.5: “abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

O9A.5Psychological abuse complicating pregnancy, childbirth and the puerperiumT74.92XAUnspecified child maltreatment, confirmed, initial encounter
Billing statusNon-billable header

Report instead: O9A.511, O9A.512, O9A.513, O9A.519, O9A.52

Billable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPsychological abuse complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O9A.5).Unspecified child maltreatment, confirmed, initial encounter is a billable ICD-10-CM diagnosis code (T74.92A).
7th characterThe appropriate 7th character is to be added to each code from category T74
Includes
Conditions in T74.31 or T76.31
Use additional code
code to identify the perpetrator of abuse (Y07.-)
code, if applicable, to identify any associated current injury
external cause code to identify perpetrator, if known (Y07.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources