Z62.810 ICD-10-CM Code: Personal history of physical and sexual abuse in childhood
Z62.810 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools
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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
Z62.810
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePersonal history of physical and sexual abuse in childhood
A person with a documented history of being physically abused or sexually abused during childhood, now being treated as an adult or older child.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Personal history of abuse in adolescence
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z62.810 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z62.810 in this effective period.
Excludes 1
Official- current child physical abuse (T74.12, T76.12)
- current child sexual abuse (T74.22, T76.22)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z62.810 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z62.810 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z62.810 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is Z62.810 an HCC code?
No. Z62.810 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- Z62.810
- Description
- Personal history of physical and sexual abuse in childhood
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z62.810 is the ICD-10-CM diagnosis code for personal history of physical and sexual abuse in childhood. A person with a documented history of being physically abused or sexually abused during childhood, now being treated as an adult or older child. Z62.810 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to socioeconomic and psychosocial circumstances (z55-z65).
Z62.810 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This is a personal history code and should be used even if the abuse occurred years ago, as it affects current health status and mental health.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z62.810 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a personal history code and should be used even if the abuse occurred years ago, as it affects current health status and mental health
- •Use this code to flag the need for trauma-informed care and mental health screening