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Z69.011 vs Z69.02

Z69.011 (Encounter for mental health services for perpetrator of parental child abuse) compared with Z69.02 (Encounter for mental health services for non-parental child 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. Z69.011 carries an Excludes1 note covering Z69.02: “encounter for mental health services for non-parental child abuse (Z69.02-)”

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

Z69.011Encounter for mental health services for perpetrator of parental child abuseZ69.02Encounter for mental health services for non-parental child abuse
Billing statusBillableNon-billable header

Report instead: Z69.020, Z69.021

ClassificationZ00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionEncounter for mental health services for perpetrator of parental child abuse is a billable ICD-10-CM diagnosis code (Z69.011).Encounter for mental health services for non-parental child abuse is a non-billable ICD-10-CM category code (Z69.02).
Includes
counseling for victims and perpetrators of abuse
Encounter for mental health services for perpetrator of parental child neglect
Encounter for mental health services for perpetrator of parental child psychological abuse
Encounter for mental health services for perpetrator of parental child sexual abuse
counseling for victims and perpetrators of abuse

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