T74.0 vs T74.01XD
T74.0 (Neglect or abandonment, confirmed) compared with T74.01XD (Adult neglect or abandonment, confirmed, subsequent encounter), from the official CMS tabular data.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources
Summary
These codes represent different levels of the same hierarchy: T74.0 is the non-billable header that contains T74.01XD, so only T74.01XD (or a sibling) is reported.
Registry fact- What is different?
The conditions named and billing status.T74.0 is “Neglect or abandonment, confirmed”; T74.01XD is “Adult neglect or abandonment, confirmed, subsequent encounter”. T74.0 is a non-billable header; T74.01XD is billable.
Registry fact
- Can these codes be reported together?
Not as a pair.T74.0 is the non-billable header that contains T74.01XD. A header is not reported on a claim, so the choice is T74.01XD or a sibling that matches the documentation.
Registry fact
- Is there an Excludes1 relationship?
None.Neither entry carries an Excludes1 note that names the other code. T74.0 carries 2 Excludes1 notes and T74.01XD carries 2 Excludes1 notes covering other codes; the side-by-side table quotes them.
Official rule
- Is there an Excludes2 relationship?
None.Neither entry carries an Excludes2 note that names the other code.
Official rule
- Is one more specific?
Yes.T74.01XD is a subdivision of T74.0 in the tabular hierarchy, so it is the more specific of the two.
Registry fact
- Is one a parent or header code?
Yes.T74.0 is the non-billable header that contains T74.01XD. A header stands for the whole family beneath it and is not reported on a claim.
Registry fact
- Are there sequencing instructions?
None.Neither entry carries a Code First or Use Additional Code note that names the other.
Official rule
- Are there other coding relationships?
None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.
MedCoder-derived
Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels
Can these codes be reported together?
Not as a pair — T74.0 is not reportable. T74.0 is the non-billable category that contains T74.01XD.
A header stands for the whole family of codes beneath it and is not reported on a claim, so the choice is T74.01XD or a sibling that matches the documentation. No Excludes1/Excludes2 relationship exists between these codes in the official tabular list.
Official guidance behind these answers
Section I.B.2 — Level of Detail in Coding · applies to: T74.0 and T74.01XD
Diagnosis codes are to be used and reported at their highest number of characters available and to the highest level of specificity documented in the medical record. ICD-10-CM diagnosis codes are composed of codes with 3, 4, 5, 6 or 7 characters. Codes with three characters are included in ICD-10-CM as the heading of a category of codes that may be further subdivided by the use of fourth and/or fifth characters and/or sixth characters, which provide greater detail. A three-character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7th character, if applicable.
ICD-10-CM Official Guidelines FY2027
Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum
Side by side
| T74.0Neglect or abandonment, confirmed | T74.01XDAdult neglect or abandonment, confirmed, subsequent encounter | |
|---|---|---|
| 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) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Neglect or abandonment, confirmed is a non-billable ICD-10-CM category code (T74.0). | Adult neglect or abandonment, confirmed, subsequent encounter is a billable ICD-10-CM diagnosis code (T74.01XD). |
| 7th character | The appropriate 7th character is to be added to each code from category T74 | The appropriate 7th character is to be added to each code from category T74 |
| Excludes1 | abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-) adult and child maltreatment, suspected (T76.-) | abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-) adult and child maltreatment, suspected (T76.-) |
| Use additional code | code, if applicable, to identify any associated current injury external cause code to identify perpetrator, if known (Y07.-) | 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-) | , 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-) |
Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.
Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources