Adult physical abuse, confirmed, subsequent encounter

This code indicates that an adult patient has experienced physical abuse, and the abuse has been definitively established. It is used for encounters following the initial diagnosis and treatment of the abuse, where the patient is receiving ongoing care related to the confirmed physical abuse.

Apply this code when an adult patient presents for follow-up appointments, rehabilitation, or ongoing medical management for injuries or conditions directly resulting from confirmed physical abuse. This includes situations where the patient is receiving counseling, physical therapy, or monitoring for long-term effects after the initial acute phase of care.

• Ensure documentation clearly states "confirmed" physical abuse and that the encounter is not the initial presentation.
• Always sequence this code as a secondary diagnosis, following the specific injury or condition resulting from the abuse.
• Do not use this code for suspected abuse; a confirmed diagnosis is required.