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ICD-10 Guide
ICD-10 CodesZ62.810

Z62.810

Personal history of physical and sexual abuse in childhood

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z62.810 is a billable code used to indicate a diagnosis of personal history of physical and sexual abuse in childhood.

Key Diagnostic Point:

Z62.810 captures the personal history of individuals who experienced physical and sexual abuse during childhood. This history can significantly influence an individual's health status, leading to various psychological and physical health issues, including anxiety, depression, PTSD, and chronic pain. Social determinants such as socioeconomic status, family dynamics, and access to healthcare services play a crucial role in the long-term health outcomes of these individuals. Preventive care strategies may include mental health screenings, trauma-informed care approaches, and supportive counseling. Screening for associated conditions is vital, as early intervention can mitigate the long-term effects of childhood abuse. Aftercare may involve ongoing mental health support, rehabilitation services, and community resources to foster recovery and resilience.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for comprehensive documentation of abuse history
  • Potential for co-occurring mental health conditions
  • Variability in patient reporting and recall of abuse
  • Integration of social determinants of health in care planning

Audit Risk Factors

  • Inadequate documentation of abuse history
  • Failure to link Z code with relevant mental health diagnoses
  • Misuse of Z code as a primary diagnosis without supporting evidence
  • Lack of follow-up care documentation

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documenting patient history, mental health screenings, and referrals to specialists.

Common Clinical Scenarios

Routine checkups where abuse history is disclosed, screenings for depression or anxiety.

Billing Considerations

Understanding the impact of social determinants such as housing stability and access to mental health services.

Public Health

Documentation Requirements

Collecting data for epidemiological studies and community health assessments.

Common Clinical Scenarios

Community outreach programs targeting at-risk populations, preventive health initiatives.

Billing Considerations

Tracking health outcomes related to childhood abuse in population health studies.

Coding Guidelines

Inclusion Criteria

Use Z62.810 When
  • Z codes are used to indicate a patient's history that may affect their health status
  • When coding Z62
  • 810, it should be sequenced appropriately, often as a secondary diagnosis to reflect the impact of the abuse on current health conditions
  • Payer requirements may vary, so it's essential to verify coverage for mental health services linked to this code

Exclusion Criteria

Do NOT use Z62.810 When
No specific exclusions found.

Related CPT Codes

96127CPT Code

Brief emotional/behavioral assessment

Clinical Scenario

Used during mental health evaluations where Z62.810 is applicable.

Documentation Requirements

Document the assessment results and any referrals made.

Specialty Considerations

Primary care providers should ensure comprehensive mental health evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding personal histories, enabling better tracking of health outcomes related to childhood abuse.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding personal histories, enabling better tracking of health outcomes related to childhood abuse.

Reimbursement & Billing Impact

impact on current health, and any preventive or aftercare services provided.

Resources

Clinical References

  • •
    Preventive Guidelines for Trauma-Informed Care

Coding & Billing References

  • •
    Preventive Guidelines for Trauma-Informed Care

Frequently Asked Questions

How should Z62.810 be documented in a patient's record?

Document the specific details of the abuse history, its impact on the patient's current health, and any referrals or treatments initiated as a result.