ICD-10 Z04.71
Billable / SpecificEncounter for examination and observation following alleged adult physical abuse
About ICD-10-CM Z04.71
ICD-10-CM code Z04.71 represents Encounter for examination and observation following alleged adult physical abuse. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z04). The 2026 edition of ICD-10-CM Z04.71 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z04.71. Per CMS ICD-10-CM Tabular 2026.
- Suspected adult physical abuse, ruled out
Type 1 Excludes
Pure excludes, these codes can never be coded together with Z04.71. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- confirmed case of adult physical abuse (T74.-)
- encounter for examination and observation following alleged adult sexual abuse (Z04.41)
- suspected case of adult physical abuse, not ruled out (T76.-)
Medicare LCD Coverage for Z04.71
Local Coverage Determinations (LCDs) from CMS MACs that list Z04.71 as a covered diagnosis.
Showing top 10 of 543 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z04.71.
5 Medicare
CPT Codes Commonly Billed with Z04.71
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert Z04.71 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z04.71 | V7181 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z04.71
Other codes in section Z00-Z13 (Persons encountering health services for examinations).
ICD-10 Z04.71, Billing FAQ
Is ICD-10 code Z04.71 billable? +
Yes, Z04.71 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to Z04.71? +
ICD-10 Z04.71 includes: Suspected adult physical abuse, ruled out.
What codes are Type 1 Excludes for Z04.71? +
Type 1 Excludes (never code together with Z04.71): confirmed case of adult physical abuse (T74.-); encounter for examination and observation following alleged adult sexual abuse (Z04.41); suspected case of adult physical abuse, not ruled out (T76.-)
What ICD-9 codes does Z04.71 map to? +
Per CMS GEMs, Z04.71 maps to ICD-9 codes: V7181. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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