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ICD-10/T74.4XXD

T74.4XXD ICD-10-CM Code: Shaken infant syndrome, subsequent encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Shaken infant syndrome, subsequent encounter is a billable ICD-10-CM diagnosis code (T74.4D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T74.4XXD in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
  • adult and child maltreatment, suspected (T76.-)

Code Also

Additional codes that may be required to fully describe the encounter.

  • 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-)

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code, if applicable, to identify any associated current injury
  • external cause code to identify perpetrator, if known (Y07.-)

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T74.4XXD require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T74.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T74.4XXD in its code family, with their registry titles.

  • T74.32XA — Child psychological abuse, confirmed, initial encounter
  • T74.32XD — Child psychological abuse, confirmed, subsequent encounter
  • T74.32XS — Child psychological abuse, confirmed, sequela
  • T74.4 — Shaken infant syndrome
  • T74.4XXA — Shaken infant syndrome, initial encounter
  • T74.4XXS — Shaken infant syndrome, sequela
  • T74.5 — Forced sexual exploitation, confirmed
  • T74.51 — Adult forced sexual exploitation, confirmed
  • T74.51XA — Adult forced sexual exploitation, confirmed, initial encounter
  • T74.51XD — Adult forced sexual exploitation, confirmed, subsequent encounter

View all codes in the T74 family