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Z69 ICD-10-CM Code: Encounter for mental health services for victim and perpetrator of abuse

Z69 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services in other circumstances (Z69-Z76)

Z69

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Encounter for mental health services for victim and perpetrator of abuse

Encounter for mental health services for victim and perpetrator of abuse

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

Official
Z6Persons encountering health services in other circumstances (Z69-Z76)
Z69Encounter for mental health services for victim and perpetrator of abuse

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Z69 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z69 in this effective period.

Related Child Codes

Official
Z69.0Encounter for mental health services for child abuse problems
Z69.1Encounter for mental health services for spousal or partner abuse problems
Z69.8Encounter for mental health services for victim or perpetrator of other abuse

Includes

Official
  • counseling for victims and perpetrators of abuse

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for Z69 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z69 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z69 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z69 in this effective period.

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 →

Code
Z69
Description
Encounter for mental health services for victim and perpetrator of abuse
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

Z69 is the ICD-10-CM diagnosis code for encounter for mental health services for victim and perpetrator of abuse. Z69 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services in other circumstances (z69-z76).

Header codes like Z69 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Z69 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • counseling for victims and perpetrators of abuse

Child Codes

Code Hierarchy

Z69Encounter for mental health services for victim and perpetrator of abuse
Z69Encounter for mental health services for victim and perpetrator of abuse

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