Are there age restrictions for ICD-10-CM code Z91.410?

Yes, this code is restricted to patients between the ages of 15 and 124 years.

Is Z91.410 a mental health diagnosis?

Yes, code Z91.410 is identified as a mental health diagnosis.

Is Z91.410 an acceptable principal diagnosis?

No, code Z91.410 is identified as an unacceptable principal diagnosis (Edit 113) due to OPPS coding requirements.

Z91.410 Billable Code

Personal history of adult physical and sexual abuse

Effective From: 10/01/2016

Chapter Classification

Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)

Section Detail

Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)

Code Hierarchy

This code is a child of Z91.41.

Coding Guidelines & Notes

excludes1

current adult physical abuse (T74.11, T76.11)
current adult sexual abuse (T74.21, T76.11)

OPPS Editing Flags

Age Restrictions Ages 15 to 124

External Cause No

Mental Health Yes

Manifestation (Edit 89) No

Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No

Unacceptable PDX (Edit 113) Yes

PDX Exclusion Logic

OPPS Required: Yes
Bill Type Override: No

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