DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

T74 Adult and child abuse, neglect and other maltreatment, confirmed

  • Header · not billable
  • Codes take a 7th character

T74 is not billable. The category heads 51 billable codes in FY2027, grouped under 9 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Syndromeshaken infant → T74.4
  • Rapeadultconfirmed → T74.21
  • Rapechildconfirmed → T74.22

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. T66-T78 Other and unspecified effects of external causes (T66-T78)
  3. T74 Adult and child abuse, neglect and other maltreatment, confirmed
Billable codes
51
Subdivisions
9
CC / MCC codes
14 / 0
HCC V28 codes
0
New FY2027
0
Index entries
31

Codes in T74

  1. T74.0
    Neglect or abandonment, confirmed
    Header
  2. T74.01
    Adult neglect or abandonment, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  3. T74.02
    Child neglect or abandonment, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  4. T74.1
    Physical abuse, confirmed
    Header
    Excludes2 1

    Excludes2

    • sexual abuse (T74.2-) T74.2
  5. T74.11
    Adult physical abuse, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  6. T74.12
    Child physical abuse, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
    Excludes2 1

    Excludes2

    • shaken infant syndrome (T74.4) T74.4
  7. T74.2
    Sexual abuse, confirmed
    Header
    Inclusion terms 2

    Inclusion terms

    • Rape, confirmed
    • Sexual assault, confirmed
  8. T74.21
    Adult sexual abuse, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  9. T74.22
    Child sexual abuse, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  10. T74.3
    Psychological abuse, confirmed
    Header
    Inclusion terms 5

    Inclusion terms

    • Bullying and intimidation, confirmed
    • Intimidation through social media, confirmed
    • Target of threatened harm, confirmed
    • Target of threatened physical violence, confirmed
    • Target of threatened sexual abuse, confirmed
  11. T74.31
    Adult psychological abuse, confirmed +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  12. T74.32
    Child psychological abuse, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  13. T74.4
    Shaken infant syndrome +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  14. T74.5
    Forced sexual exploitation, confirmed
    Header
  15. T74.51
    Adult forced sexual exploitation, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  16. T74.52
    Child sexual exploitation, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  17. T74.6
    Forced labor exploitation, confirmed
    Header
  18. T74.61
    Adult forced labor exploitation, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  19. T74.62
    Child forced labor exploitation, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  20. T74.9
    Unspecified maltreatment, confirmed
    Header
  21. T74.91
    Unspecified adult maltreatment, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  22. T74.92
    Unspecified child maltreatment, confirmed +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  23. T74.A
    Financial abuse, confirmed
    Header
  24. T74.A1
    Adult financial abuse, confirmed +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  25. T74.A2
    Child financial abuse, confirmed +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At T74

Excludes1

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

Use additional code

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

Notes that also apply

Block T66-T78 instructions (Code also 6): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for T74 defined here

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

7th characters for T74
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Syndromeshaken infant → T74.4
  • Neglectadultconfirmed → T74.01
  • Malnutritionlack of care, or neglect (child) (infant)confirmed → T74.02
  • Neglectchild (childhood)confirmed → T74.02
  • Rapeadultconfirmed → T74.21
  • Rapechildconfirmed → T74.22
  • Maltreatmentadultconfirmed → T74.91
  • Maltreatmentchildconfirmed → T74.92
  • Maltreatmentadultabandonmentconfirmed → T74.01
  • Maltreatmentadultneglectconfirmed → T74.01
  • Lack ofcareof infant (at or after birth)confirmed → T74.02
  • Maltreatmentchildabandonmentconfirmed → T74.02
  • Maltreatmentchildneglectconfirmed → T74.02
  • Maltreatmentadultphysical abuseconfirmed → T74.11
  • Maltreatmentchildphysical abuseconfirmed → T74.12
  • Maltreatmentadultsexual abuseconfirmed → T74.21
  • Maltreatmentchildsexual abuseconfirmed → T74.22
  • Maltreatmentadultbullyingconfirmed → T74.31
  • Maltreatmentadultintimidation (through social media)confirmed → T74.31
  • Maltreatmentadultpsychological abuseconfirmed → T74.31
  • Maltreatmentadultthreatened abuse (harm) (physical violence) (sexual abuse)confirmed → T74.31
  • Maltreatmentchildbullyingconfirmed → T74.32
  • Maltreatmentchildintimidation (through social media)confirmed → T74.32
  • Maltreatmentchildpsychological abuseconfirmed → T74.32
  • Maltreatmentchildthreatened abuse (harm) (physical violence) (sexual abuse)confirmed → T74.32
  • Exploitationsexualconfirmedadult forced → T74.51
  • Exploitationsexualconfirmedchild → T74.52
  • Exploitationlaborconfirmedadult forced → T74.61
  • Exploitationlaborconfirmedchild forced → T74.62
  • Maltreatmentadultfinancialconfirmed → T74.A1
  • Maltreatmentchildfinancialconfirmed → T74.A2

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy