Z91.411
BillablePersonal history of adult psychological abuse
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is Z91.411 an HCC code?
No. Z91.411 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z91.411 is the ICD-10-CM diagnosis code for personal history of adult psychological abuse. A patient has a documented history of being emotionally or psychologically abused as an adult. Z91.411 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 family and personal history and certain conditions influencing health status (z77-z99).
Z91.411 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.
Psychological abuse includes verbal abuse, intimidation, isolation, and emotional manipulation.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z91.411 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Psychological abuse includes verbal abuse, intimidation, isolation, and emotional manipulation
- •This code documents the history for ongoing care considerations and mental health support