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Z04.72

Billable

Encounter for examination and observation following alleged child 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 a child who shows signs of or reports physical abuse, including injury assessment and protective evaluation.

Coding Tips

  • This code is used for alleged child physical abuse; thorough documentation is critical for child protection purposes
  • Mandatory reporting to child protective services is typically required; coordinate with appropriate agencies

Excludes 1 — Do NOT code together

  • confirmed case of child physical abuse (T74.-)
  • encounter for examination and observation following alleged child sexual abuse (Z04.42)
  • suspected case of child physical abuse, not ruled out (T76.-)

Code Hierarchy

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