ICD-10 · PDGM grouping
Z69 Encounter for mental health services for victim and perpetrator of abuse
All 8 codes in the Z69 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.
Codes in family
8
Can lead a claim
0
Cannot lead a claim
8
What CMS assigns to Z69
None of the 8 codes is assigned a clinical group. None of the 8 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z69
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 |
|---|---|---|---|---|
| Z69.0 Encounter for mental health services for child abuse problems | ||||
| Z69.01 Encounter for mental health services for parental child abuse | ||||
| Z69.010 | Encounter for mental health services for victim of parental child abuseCMS: Encntr for mental hlth serv for victim of prntl child abuse | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z69.011 | Encounter for mental health services for perpetrator of parental child abuseCMS: Encntr for mental health serv for perp of prntl child abuse | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z69.02 Encounter for mental health services for non-parental child abuse | ||||
| Z69.020 | Encounter for mental health services for victim of non-parental child abuseCMS: Encntr for mntl hlth serv for vctm of non-prntl child abuse | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z69.021 | Encounter for mental health services for perpetrator of non-parental child abuseCMS: Encntr for mntl hlth serv for perp of non-prntl child abuse | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z69.1 Encounter for mental health services for spousal or partner abuse problems | ||||
| Z69.11 | Encounter for mental health services for victim of spousal or partner abuseCMS: Encntr for mntl hlth serv for victim of spous or prtnr abuse | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z69.12 | Encounter for mental health services for perpetrator of spousal or partner abuseCMS: Encntr for mental hlth serv for perp of spous or prtnr abuse | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z69.8 Encounter for mental health services for victim or perpetrator of other abuse | ||||
| Z69.81 | Encounter for mental health services for victim of other abuseCMS: Encounter for mental health services for victim of oth abuse | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z69.82 | Encounter for mental health services for perpetrator of other abuseCMS: Encounter for mental health services for perp of abuse | 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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