ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesZ65.4

Z65.4

Victim of crime and terrorism

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

Code Description

ICD-10 Z65.4 is a billable code used to indicate a diagnosis of victim of crime and terrorism.

Key Diagnostic Point:

Z65.4 is used to classify individuals who have been victims of crime or terrorism, which can significantly impact their mental and physical health. Victims may experience a range of psychological effects, including PTSD, anxiety, and depression, necessitating preventive care and screening for mental health issues. Social determinants such as socioeconomic status, community safety, and access to mental health services play a crucial role in the health outcomes of these individuals. Preventive care may include counseling, support groups, and screenings for mental health disorders. Aftercare is essential for recovery, involving follow-up appointments and ongoing support services. Proper documentation of the circumstances surrounding the victimization, including the type of crime or terrorism experienced, is critical for accurate coding and appropriate care planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied psychological impacts requiring nuanced documentation
  • Need for comprehensive patient history related to the crime or terrorism
  • Potential for co-occurring mental health conditions
  • Variability in patient responses and recovery trajectories

Audit Risk Factors

  • Inadequate documentation of the crime or terrorism incident
  • Failure to link mental health conditions to the victimization
  • Misuse of the code without clear evidence of victim status
  • Inconsistent follow-up care documentation

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of the incident, mental health screenings, and any referrals made for counseling or support services.

Common Clinical Scenarios

Routine checkups where the patient discloses victimization, screenings for anxiety or depression, and follow-up visits for mental health support.

Billing Considerations

Consideration of social determinants such as housing stability, community resources, and access to mental health care.

Public Health

Documentation Requirements

Population-level data collection on crime and its health impacts, including mental health statistics and community health assessments.

Common Clinical Scenarios

Epidemiological studies assessing the impact of crime on community health, preventive health initiatives targeting at-risk populations.

Billing Considerations

Focus on tracking health outcomes related to crime and terrorism, and the effectiveness of preventive measures.

Coding Guidelines

Inclusion Criteria

Use Z65.4 When
  • Z codes should be used when the primary reason for the encounter is related to the social circumstances of the patient
  • They can be sequenced as secondary diagnoses when the primary diagnosis is a mental health condition resulting from victimization
  • Payer requirements may vary, so it's essential to verify coverage for services related to this code

Exclusion Criteria

Do NOT use Z65.4 When
No specific exclusions found.

Related CPT Codes

96127CPT Code

Brief emotional/behavioral assessment

Clinical Scenario

Used during mental health evaluations for victims of crime.

Documentation Requirements

Document the assessment results and any referrals made.

Specialty Considerations

Primary care providers should be aware of the mental health implications of victimization.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding victimization, enabling better tracking of health outcomes and resource allocation for affected individuals.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding victimization, enabling better tracking of health outcomes and resource allocation for affected individuals.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding victimization, enabling better tracking of health outcomes and resource allocation for affected individuals.

Resources

Clinical References

  • •
    National Center for PTSD

Coding & Billing References

  • •
    National Center for PTSD

Frequently Asked Questions

When should Z65.4 be used in a clinical setting?

Z65.4 should be used when a patient presents with health issues directly related to their experience as a victim of crime or terrorism, particularly when mental health conditions are involved.