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Z04.71

Billable

Encounter for examination and observation following alleged adult physical abuse

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A medical examination visit for an adult who reports being physically abused, including assessment of injuries and documentation for potential legal proceedings.

Coding Tips

  • Use this code for alleged adult physical abuse; document the nature and extent of injuries observed
  • Consider mandatory reporting requirements and coordinate with appropriate authorities as required by law

Excludes 1 — Do NOT code together

  • confirmed case of adult physical abuse (T74.-)
  • encounter for examination and observation following alleged adult sexual abuse (Z04.41)
  • suspected case of adult physical abuse, not ruled out (T76.-)

Code Hierarchy

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