Z69.010 ICD-10-CM Code: Encounter for mental health services for victim of parental child abuse
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services in other circumstances (Z69-Z76)
Z69.010
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceEncounter for mental health services for victim of parental child abuse
A child is receiving mental health counseling or treatment after experiencing abuse by a parent or guardian.
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- Encounter for mental health services for victim of child abuse by parent
- Encounter for mental health services for victim of child neglect by parent
- Encounter for mental health services for victim of child psychological abuse by parent
- Encounter for mental health services for victim of child sexual abuse by parent
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z69.010 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z69.010 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for Z69.010 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z69.010 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z69.010 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z69.010 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 Z69.010 an HCC code?
No. Z69.010 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- Z69.010
- Description
- Encounter for mental health services for victim of parental child abuse
- 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
Z69.010 is the ICD-10-CM diagnosis code for encounter for mental health services for victim of parental child abuse. A child is receiving mental health counseling or treatment after experiencing abuse by a parent or guardian. Z69.010 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).
Z69.010 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.
Use this code for victims of parental child abuse seeking mental health services.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z69.010 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.