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.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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
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