AAPC - Back to school
Results 1 to 6 of 6

Thread: ICD-9 reporting for potential child abuse

  1. #1

    Unhappy ICD-9 reporting for potential child abuse

    AAPC: Back to School
    My Dr saw an infant in the hsp diagnosed with multiple fractures at various degrees of healing. Case has been presented to Bureau of Child Welfare for "potential child abuse".
    I remember reading somewhere this needs to be reported to the insurance companies on the claims. But since this was "potential" abuse, how do I code this? Should I use 995.54 Child Physical Abuse, or do the same rules apply as in not reporting suspected conditions?
    Thanks so much!

  2. #2
    Join Date
    Apr 2007
    North Carolina


    Take a look at V71.81-As far as the fractures, it's somewhat hard to say without reading the documentation but I would probably look at a fx code also since you stated the fx's were healing at different degrees. Maybe an aftercare fx code?


    (Read page 6)
    Last edited by RebeccaWoodward*; 10-08-2008 at 10:51 AM.

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default V71.81

    I like V71.81 rather than giving a definitive diagnosis.
    Remember that this record follows the patient FOREVER. You don't want to give them a condition they do not have. (There are congenital conditions that could cause multiple fractures without any abuse.)

    F Tessa Bartels, CPC, CPC-E/M

  4. #4
    Join Date
    Apr 2007
    Bradenton, Fl


    There are also "E" codes for this:

    Abuse (alleged) (suspected) E967.X

    You could possibly put the "E" code with the fx code??
    Angie Olson, CPC

  5. #5


    Thanks to all for the responses... V71.81 was just what I was looking for! Have a great day!

  6. #6


    would the v71.81 code be appropiate if the exam is for possible abuse?

Similar Threads

  1. ICD 10 Code for HX of drug abuse
    By cindy85 in forum Diagnosis Coding
    Replies: 2
    Last Post: 12-09-2015, 03:43 PM
  2. coding child abuse
    By fatielara in forum Diagnosis Coding
    Replies: 4
    Last Post: 07-23-2015, 02:14 PM
  3. Child abuse code vs Counseling for Victim of child abuse
    By PVAzCPC in forum Behavioral Health
    Replies: 0
    Last Post: 07-01-2013, 10:02 AM
  4. Child Sex Abuse/Suspected Abuse Visit
    By chelsey71 in forum Pediatrics
    Replies: 0
    Last Post: 08-05-2010, 11:15 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.