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ICD-10 Guide
ICD-10 CodesZ62.811

Z62.811

Personal history of psychological abuse in childhood

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

Code Description

ICD-10 Z62.811 is a billable code used to indicate a diagnosis of personal history of psychological abuse in childhood.

Key Diagnostic Point:

Z62.811 is used to indicate a personal history of psychological abuse experienced during childhood. This code is crucial for understanding the long-term effects of childhood trauma on an individual's mental and physical health. Psychological abuse can manifest in various forms, including emotional neglect, verbal abuse, and manipulation, which can lead to significant psychological distress and impact overall health status. Individuals with this history may present with anxiety, depression, or other mental health disorders, necessitating preventive care and screening for mental health issues. Social determinants such as socioeconomic status, family dynamics, and access to mental health services play a critical role in the health outcomes of these individuals. Preventive care may include routine mental health screenings, counseling, and support services aimed at mitigating the effects of past abuse. Understanding this history is essential for healthcare providers to tailor aftercare and support services effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires thorough documentation of psychological abuse history.
  • Potential overlap with other mental health diagnoses.
  • Need for comprehensive understanding of social determinants of health.
  • Variability in patient presentation and reporting of abuse.

Audit Risk Factors

  • Inadequate documentation of the abuse history.
  • Failure to link Z code with appropriate mental health diagnoses.
  • Misuse of the code in non-relevant clinical scenarios.
  • Inconsistent coding practices across providers.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

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

Common Clinical Scenarios

Routine checkups where psychological history is relevant, screenings for anxiety or depression, and aftercare follow-ups.

Billing Considerations

Consideration of social determinants such as family support, economic stability, and access to care.

Public Health

Documentation Requirements

Population-level data collection on childhood abuse prevalence and its health impacts.

Common Clinical Scenarios

Epidemiological studies, community health assessments, and preventive health initiatives targeting at-risk populations.

Billing Considerations

Focus on tracking health outcomes related to childhood abuse and advocating for community resources.

Coding Guidelines

Inclusion Criteria

Use Z62.811 When
  • Z codes should be used when a patient has a personal history that impacts their current health status
  • 811 should be sequenced appropriately, often as a secondary diagnosis alongside primary mental health conditions
  • Payer requirements may vary, so it is essential to check specific guidelines for coverage of preventive services related to psychological abuse

Exclusion Criteria

Do NOT use Z62.811 When
No specific exclusions found.

Related CPT Codes

96127CPT Code

Brief emotional/behavioral assessment

Clinical Scenario

Used during routine screenings for patients with a history of psychological abuse.

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, including psychological abuse, which can lead to improved understanding of patient needs and better-targeted interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding personal histories, including psychological abuse, which can lead to improved understanding of patient needs and better-targeted interventions.

Reimbursement & Billing Impact

impact on current health, and any preventive or aftercare services provided. Ensure that all services are linked to the Z code appropriately for reimbursement.

Resources

Clinical References

  • •
    Preventive Guidelines for Mental Health

Coding & Billing References

  • •
    Preventive Guidelines for Mental Health

Frequently Asked Questions

When should Z62.811 be used in clinical practice?

Z62.811 should be used when a patient has a documented history of psychological abuse in childhood that impacts their current health status, particularly in mental health contexts.