ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z69.11

Billable / Specific

Encounter for mental health services for victim of spousal or partner abuse

Z69
Block
3
Synonyms
38
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM Z69.11

ICD-10-CM code Z69.11 represents Encounter for mental health services for victim of spousal or partner abuse. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z69). The 2026 edition of ICD-10-CM Z69.11 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Z69.11. Per CMS ICD-10-CM Tabular 2026.

  • Encounter for mental health services for victim of spouse or partner neglect
  • Encounter for mental health services for victim of spouse or partner psychological abuse
  • Encounter for mental health services for victim of spouse or partner violence, physical

Medicare LCD Coverage for Z69.11

Local Coverage Determinations (LCDs) from CMS MACs that list Z69.11 as a covered diagnosis.

38 LCDs

Showing top 10 of 38 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90899 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 96146 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90839 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90870 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90865 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT G0018 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90837 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z69.11.

1 policies

1 Medicare

Billing and Coding: Psychiatric Codes
Policy ID: ART-57130

CPT Codes Commonly Billed with Z69.11

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Z69.11

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 Z69.11 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z69.11 V6111 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z69.11

Other codes in section Z69-Z76 (Persons encountering health services in other circumstances).

Z69 Encounter for mental health services for victim and perpetrator of abuse (non-billable) Z69.0 Encounter for mental health services for child abuse problems (non-billable) Z69.01 Encounter for mental health services for parental child abuse (non-billable) Z69.010 Encounter for mental health services for victim of parental child abuse Z69.011 Encounter for mental health services for perpetrator of parental child abuse Z69.02 Encounter for mental health services for non-parental child abuse (non-billable) Z69.020 Encounter for mental health services for victim of non-parental child abuse Z69.021 Encounter for mental health services for perpetrator of non-parental child abuse Z69.1 Encounter for mental health services for spousal or partner abuse problems (non-billable) Z69.12 Encounter for mental health services for perpetrator of spousal or partner abuse Z69.8 Encounter for mental health services for victim or perpetrator of other abuse (non-billable) Z69.81 Encounter for mental health services for victim of other abuse Z69.82 Encounter for mental health services for perpetrator of other abuse Z70 Counseling related to sexual attitude, behavior and orientation (non-billable) Z70.0 Counseling related to sexual attitude Z70.1 Counseling related to patient's sexual behavior and orientation Z70.2 Counseling related to sexual behavior and orientation of third party Z70.3 Counseling related to combined concerns regarding sexual attitude, behavior and orientation Z70.8 Other sex counseling Z70.9 Sex counseling, unspecified

ICD-10 Z69.11, Billing FAQ

Is ICD-10 code Z69.11 billable? +

Yes, Z69.11 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 Z69.11? +

ICD-10 Z69.11 includes: Encounter for mental health services for victim of spouse or partner neglect; Encounter for mental health services for victim of spouse or partner psychological abuse; Encounter for mental health services for victim of spouse or partner violence, physical.

What ICD-9 codes does Z69.11 map to? +

Per CMS GEMs, Z69.11 maps to ICD-9 codes: V6111. 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 May 31, 2026.

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