ICD-10-CM Billable Code

T74.11

Adult physical abuse, confirmed

Clinical Classification Guidelines

Medical Intelligence & Overview

Adult physical abuse involves intentional injury inflicted upon an adult by another individual. It can occur in various settings, such as in domestic relationships, workplaces, or institutional environments. Recognizing the signs and understanding the nature of adult physical abuse are crucial steps towards ensuring safety and seeking appropriate support or intervention.

Causes & Symptoms

Clinical Causes: Domestic violence or intimate partner violence Workplace conflicts or harassment Institutional abuse in nursing homes or care facilities Situations involving power and control over the victim Recurring cycles of violence or coercion

Key Symptoms: Bruises, burns, or other marks on the body Fractures or broken bones Head or facial injuries, such as cuts or bruises Unexplained or repeatedly recurring injuries Signs of restraint, such as welts or marks Injuries inconsistent with the explanation given Emotional distress or fearfulness Withdrawn behavior or reluctance to speak about injuries

Diagnostic & Treatment

Diagnosis Path: Healthcare providers assess physical injuries during examination and may utilize imaging tests like X-rays or MRIs to evaluate internal damage. A detailed history and observation of the injuries' pattern are essential. Medical documentation, photographs, and testimony can provide evidence. It's also important to consider psychological assessments to gauge emotional impact and safety risks.

Treatment Protocols: Addressing physical injuries promptly through medical care is vital. This may include wound care, pain management, and treatment of fractures or internal injuries. Support services such as counseling, social work, and legal assistance are often recommended to address safety concerns and promote recovery. In some cases, protection orders or protective services are necessary to prevent further abuse.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is T74.11 a billable ICD-10 code?
Yes, T74.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report T74.11?
Clinical documentation must specify the nature of Adult physical abuse, confirmed and any associated comorbidities for accurate reporting.

Cite this Clinical Reference