Z91.410 Personal history of adult physical and sexual abuse

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Excludes1 (never code together)

• current adult physical abuse (T74.11, T76.11)
• current adult sexual abuse (T74.21, T76.11)

Applies from Z91 Personal risk factors, not elsewhere classified

Excludes2 (not included here)

• contact with and (suspected) exposures hazardous to health (Z77.-)
• exposure to pollution and other problems related to physical environment (Z77.1-)
• female genital mutilation status (N90.81-)
• occupational exposure to risk factors (Z57.-)
• personal history of physical injury and trauma (Z87.81, Z87.82-)

Applies from Z91.41 Personal history of adult abuse

Excludes2 (not included here)

• personal history of abuse in childhood (Z62.81-)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V15.41 History of physical abuse (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.
• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Diagnosis Index entries for Z91.410

• History › personal (of) › abuse › adult › physical and sexual

Nearby codes

• Z91.A9 Caregiver's noncompliance with patient's other medical treatment and regimen
• Z91.A91 Caregiver's noncompliance with patient's other medical treatment and regimen due to financial hardship
• Z91.A98 Caregiver's noncompliance with patient's other medical treatment and regimen for other reason
• Z91.4 Personal history of psychological trauma, not elsewhere classified
• Z91.41 Personal history of adult abuse
• Z91.410 Personal history of adult physical and sexual abuse (this code)
• Z91.411 Personal history of adult psychological abuse
• Z91.412 Personal history of adult neglect
• Z91.413 Personal history of adult financial abuse
• Z91.414 Personal history of adult intimate partner abuse
• Z91.419 Personal history of unspecified adult abuse