Encounter for examination and observation following alleged child physical abuse
ICD-10 Z04.72 is a billable code used to indicate a diagnosis of encounter for examination and observation following alleged child physical abuse.
Z04.72 is utilized for encounters where a child is examined and observed following allegations of physical abuse. This code is critical in the context of safeguarding children and ensuring their health and well-being. The examination may include physical assessments, psychological evaluations, and social assessments to determine the child's safety and health status. Social determinants of health, such as family dynamics, socioeconomic status, and access to healthcare, play a significant role in these encounters. Preventive care is essential, as early identification of abuse can lead to interventions that protect the child and promote healing. Screening for potential mental health issues, developmental delays, or other health concerns is also a key component of the evaluation process. Aftercare may involve referrals to social services, counseling, or ongoing medical care to support the child's recovery and ensure their safety in the future.
Detailed notes on the child's physical and emotional state, any signs of abuse, and follow-up plans.
Routine checkups following reported abuse, assessments for injuries, and referrals for psychological support.
Consideration of social determinants such as family environment, economic stability, and access to resources.
Data collection for epidemiological studies, tracking abuse trends, and community health assessments.
Public health initiatives aimed at preventing child abuse and promoting child welfare.
Focus on community resources and support systems available to families.
Used for follow-up visits after initial examination for suspected abuse.
Document the reason for the visit, findings, and follow-up plans.
Primary care providers should focus on both physical and emotional health assessments.
Documentation must include the reason for the encounter, findings from the examination, any referrals made, and follow-up care plans. It is essential to capture the context of the alleged abuse and any social determinants affecting the child's health.
