T74.4 Shaken infant syndrome

Non-billable ICD-10-CM code.

Applies from T74 Adult and child abuse, neglect and other maltreatment, confirmed

Excludes1 (never code together)

• abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
• adult and child maltreatment, suspected (T76.-)

Use additional code

• code, if applicable, to identify any associated current injury
• external cause code to identify perpetrator, if known (Y07.-)

7th character note

• The appropriate 7th character is to be added to each code from category T74

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Code annotations containing back-references to T74.4

Back-references to T74.4

• Type 2 Excludes: T74.12 Child physical abuse, confirmed ("shaken infant syndrome (T74.4)")

Back-references to T74

• Type 2 Excludes: F94.1 Reactive attachment disorder of childhood ("maltreatment syndromes (T74.-)")
• Type 1 Excludes: T76 Adult and child abuse, neglect and other maltreatment, suspected ("adult and child maltreatment, confirmed (T74.-)")
• Type 1 Excludes: Z04.71 Encounter for examination and observation following alleged adult physical abuse ("confirmed case of adult physical abuse (T74.-)")
• Type 1 Excludes: Z04.72 Encounter for examination and observation following alleged child physical abuse ("confirmed case of child physical abuse (T74.-)")
• Type 2 Excludes: Z62 Problems related to upbringing ("maltreatment syndrome (T74.-)")
• Type 2 Excludes: Z62.815 Personal history of intimate partner abuse in childhood ("adult and child abuse, neglect and other maltreatment, confirmed (T74.-)")
• Type 2 Excludes: Z63 Other problems related to primary support group, including family circumstances ("maltreatment syndrome (T74.-, T76)")

Diagnosis Index entries for T74.4

• Syndrome › shaken infant

Nearby codes

• T74.31XS Adult psychological abuse, confirmed, sequela
• T74.32 Child psychological abuse, confirmed
• T74.32XA Child psychological abuse, confirmed, initial encounter
• T74.32XD Child psychological abuse, confirmed, subsequent encounter
• T74.32XS Child psychological abuse, confirmed, sequela
• T74.4 Shaken infant syndrome (this code)
• T74.4XXA Shaken infant syndrome, initial encounter
• T74.4XXD Shaken infant syndrome, subsequent encounter
• T74.4XXS Shaken infant syndrome, sequela
• T74.5 Forced sexual exploitation, confirmed
• T74.51 Adult forced sexual exploitation, confirmed