T74 vs Z04.71
T74 (Adult and child abuse, neglect and other maltreatment, confirmed) compared with Z04.71 (Encounter for examination and observation following alleged adult physical abuse), 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. Z04.71 carries an Excludes1 note covering T74: “confirmed case of adult physical abuse (T74.-)”
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
| T74Adult and child abuse, neglect and other maltreatment, confirmed | Z04.71Encounter for examination and observation following alleged adult physical abuse | |
|---|---|---|
| Billing status | Non-billable header Report instead: T74.01XA, T74.01XD, T74.01XS, T74.02XA, T74.02XD | Billable |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Adult and child abuse, neglect and other maltreatment, confirmed is a non-billable ICD-10-CM category code (T74). | Encounter for examination and observation following alleged adult physical abuse is a billable ICD-10-CM diagnosis code (Z04.71). |
| 7th character | The appropriate 7th character is to be added to each code from category T74 | — |
| Includes | — | encounter for examination for medicolegal reasons This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled-out. This category is also for use for administrative and legal observation status. Suspected adult physical abuse, ruled out |
| Use additional code | 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