ICD-10 · PDGM grouping
T74 Adult and child abuse, neglect and other maltreatment, confirmed
All 51 codes in the T74 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
51
Can lead a claim
33
Cannot lead a claim
18
What CMS assigns to T74
33 of the 51 codes group to Behavioral Health; 18 are assigned no clinical group. None of the 51 is assigned a comorbidity subgroup. 33 of the 51 can lead a claim.
Every code in T74
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| T74.0 Neglect or abandonment, confirmed | ||||
| T74.01 Adult neglect or abandonment, confirmed | ||||
| T74.01XA | Adult neglect or abandonment, confirmed, initial encounter | Can lead a claim | F | None |
| T74.01XD | Adult neglect or abandonment, confirmed, subsequent encounterCMS: Adult neglect or abandonment, confirmed, subs encntr | Can lead a claim | F | None |
| T74.01XS | Adult neglect or abandonment, confirmed, sequela | Can lead a claim | F | None |
| T74.02 Child neglect or abandonment, confirmed | ||||
| T74.02XA | Child neglect or abandonment, confirmed, initial encounter | Can lead a claim | F | None |
| T74.02XD | Child neglect or abandonment, confirmed, subsequent encounterCMS: Child neglect or abandonment, confirmed, subs encntr | Can lead a claim | F | None |
| T74.02XS | Child neglect or abandonment, confirmed, sequela | Can lead a claim | F | None |
| T74.1 Physical abuse, confirmed | ||||
| T74.11 Adult physical abuse, confirmed | ||||
| T74.11XA | Adult physical abuse, confirmed, initial encounter | Can lead a claim | F | None |
| T74.11XD | Adult physical abuse, confirmed, subsequent encounter | Can lead a claim | F | None |
| T74.11XS | Adult physical abuse, confirmed, sequela | Can lead a claim | F | None |
| T74.12 Child physical abuse, confirmed | ||||
| T74.12XA | Child physical abuse, confirmed, initial encounter | Can lead a claim | F | None |
| T74.12XD | Child physical abuse, confirmed, subsequent encounter | Can lead a claim | F | None |
| T74.12XS | Child physical abuse, confirmed, sequela | Can lead a claim | F | None |
| T74.2 Sexual abuse, confirmed | ||||
| T74.21 Adult sexual abuse, confirmed | ||||
| T74.21XA | Adult sexual abuse, confirmed, initial encounter | Can lead a claim | F | None |
| T74.21XD | Adult sexual abuse, confirmed, subsequent encounter | Can lead a claim | F | None |
| T74.21XS | Adult sexual abuse, confirmed, sequela | Can lead a claim | F | None |
| T74.22 Child sexual abuse, confirmed | ||||
| T74.22XA | Child sexual abuse, confirmed, initial encounter | Can lead a claim | F | None |
| T74.22XD | Child sexual abuse, confirmed, subsequent encounter | Can lead a claim | F | None |
| T74.22XS | Child sexual abuse, confirmed, sequela | Can lead a claim | F | None |
| T74.3 Psychological abuse, confirmed | ||||
| T74.31 Adult psychological abuse, confirmed | ||||
| T74.31XA | Adult psychological abuse, confirmed, initial encounter | Can lead a claim | F | None |
| T74.31XD | Adult psychological abuse, confirmed, subsequent encounter | Can lead a claim | F | None |
| T74.31XS | Adult psychological abuse, confirmed, sequela | Can lead a claim | F | None |
| T74.32 Child psychological abuse, confirmed | ||||
| T74.32XA | Child psychological abuse, confirmed, initial encounter | Can lead a claim | F | None |
| T74.32XD | Child psychological abuse, confirmed, subsequent encounter | Can lead a claim | F | None |
| T74.32XS | Child psychological abuse, confirmed, sequela | Can lead a claim | F | None |
| T74.4 Shaken infant syndrome | ||||
| T74.4XXA | Shaken infant syndrome, initial encounter | Can lead a claim | F | None |
| T74.4XXD | Shaken infant syndrome, subsequent encounter | Can lead a claim | F | None |
| T74.4XXS | Shaken infant syndrome, sequela | Can lead a claim | F | None |
| T74.5 Forced sexual exploitation, confirmed | ||||
| T74.51 Adult forced sexual exploitation, confirmed | ||||
| T74.51XA | Adult forced sexual exploitation, confirmed, initial encounterCMS: Adult forced sexual exploitation, confirmed, init | Can lead a claim | F | None |
| T74.51XD | Adult forced sexual exploitation, confirmed, subsequent encounterCMS: Adult forced sexual exploitation, confirmed, subs | Can lead a claim | F | None |
| T74.51XS | Adult forced sexual exploitation, confirmed, sequela | Can lead a claim | F | None |
| T74.52 Child sexual exploitation, confirmed | ||||
| T74.52XA | Child sexual exploitation, confirmed, initial encounter | Can lead a claim | F | None |
| T74.52XD | Child sexual exploitation, confirmed, subsequent encounter | Can lead a claim | F | None |
| T74.52XS | Child sexual exploitation, confirmed, sequela | Can lead a claim | F | None |
| T74.6 Forced labor exploitation, confirmed | ||||
| T74.61 Adult forced labor exploitation, confirmed | ||||
| T74.61XA | Adult forced labor exploitation, confirmed, initial encounterCMS: Adult forced labor exploitation, confirmed, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.61XD | Adult forced labor exploitation, confirmed, subsequent encounterCMS: Adult forced labor exploitation, confirmed, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.61XS | Adult forced labor exploitation, confirmed, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.62 Child forced labor exploitation, confirmed | ||||
| T74.62XA | Child forced labor exploitation, confirmed, initial encounterCMS: Child forced labor exploitation, confirmed, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.62XD | Child forced labor exploitation, confirmed, subsequent encounterCMS: Child forced labor exploitation, confirmed, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.62XS | Child forced labor exploitation, confirmed, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.9 Unspecified maltreatment, confirmed | ||||
| T74.91 Unspecified adult maltreatment, confirmed | ||||
| T74.91XA | Unspecified adult maltreatment, confirmed, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.91XD | Unspecified adult maltreatment, confirmed, subsequent encounterCMS: Unspecified adult maltreatment, confirmed, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.91XS | Unspecified adult maltreatment, confirmed, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.92 Unspecified child maltreatment, confirmed | ||||
| T74.92XA | Unspecified child maltreatment, confirmed, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.92XD | Unspecified child maltreatment, confirmed, subsequent encounterCMS: Unspecified child maltreatment, confirmed, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.92XS | Unspecified child maltreatment, confirmed, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.A Financial abuse, confirmed | ||||
| T74.A1 Adult financial abuse, confirmed | ||||
| T74.A1XA | Adult financial abuse, confirmed, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.A1XD | Adult financial abuse, confirmed, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.A1XS | Adult financial abuse, confirmed, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.A2 Child financial abuse, confirmed | ||||
| T74.A2XA | Child financial abuse, confirmed, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.A2XD | Child financial abuse, confirmed, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T74.A2XS | Child financial abuse, confirmed, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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