Unspecified adult maltreatment, confirmed, initial encounter

This code signifies a confirmed instance of adult maltreatment where the specific type of abuse (e.g., physical, emotional, neglect) is not documented or cannot be determined. It indicates that an adult patient has experienced harm due to mistreatment, and this is the initial encounter for this specific confirmed event.

Use this code when a healthcare provider confirms adult maltreatment but the detailed nature of the abuse is not specified in the medical record. This is appropriate for the first time a patient presents for care related to this confirmed, but unspecified, maltreatment. It should be applied when the documentation clearly states "confirmed adult maltreatment" without further detail.

• Ensure documentation explicitly states "confirmed" adult maltreatment; otherwise, consider codes for suspected or unconfirmed cases.
• Only use this code for the initial encounter for the specific confirmed maltreatment event. Subsequent encounters would use the appropriate subsequent encounter code.
• Always review the medical record for any additional details that might allow for a more specific code for the type of adult maltreatment.