Child physical abuse, confirmed, subsequent encounter

This code indicates a confirmed case of physical abuse inflicted upon a child, where the patient is receiving follow-up care for injuries or complications directly resulting from the abuse. It signifies that the initial diagnosis of child physical abuse has already been established and documented.

Apply this code when a child presents for ongoing treatment, rehabilitation, or monitoring related to injuries sustained from previously confirmed physical abuse. This includes visits for wound care, fracture management, psychological counseling, or follow-up on internal injuries after the initial acute phase.

• Always pair this code with an external cause code (e.g., Y07.0XXA) to specify the perpetrator and intent.
• Ensure documentation clearly states the confirmed nature of the abuse and that the encounter is for subsequent care, not the initial diagnosis.
• Do not use for suspected abuse; a confirmed diagnosis is required.