ICD-10-CM Code Z91.410
Personal history of adult physical and sexual abuse
Billable CodeBillable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt CodeThe Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.
Adult OnlyCode is only used for patients 15 years old or older.
Mental Health CodeIndicates that the ICD code is referenced in DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Version 5)
Z91.410 is a billable ICD code used to specify a diagnosis of personal history of adult physical and sexual abuse. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
|Indicator||Meaning||CMS Will Pay CC/MCC DRG Costs|
|Y||Diagnosis was present at time of inpatient admission||Yes|
|N||Diagnosis was not present at time of inpatient admission||No|
|U||Documentation insufficient to determine if the condition was present at the time of inpatient admission.||No|
|W||Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.||Yes|
|1||Exempt from POA reporting||No|
Coding Notes for Z91.410 Info for medical coders on how to properly use this ICD-10 code
Code Type-1 Excludes:
Type-1 ExcludesType-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
- Current adult physical abuse (T74.11, T76.11) - instead, use code T74.11
- Current adult sexual abuse (T74.21, T76.11) - instead, use code T74.21
- DRG Group #951 - Other factors influencing health status.
ICD-10-CM Alphabetical Index References for 'Z91.410 - Personal history of adult physical and sexual abuse'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z91.410. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Z91.410 and a single ICD9 code, V15.41 is an approximate match for comparison and conversion purposes.