Unspecified child maltreatment, confirmed, initial encounter

This code signifies a confirmed instance of child maltreatment where the specific type of abuse or neglect (e.g., physical, sexual, emotional) has not yet been determined or documented. It indicates that a healthcare professional has identified evidence consistent with child maltreatment, but further investigation is needed to categorize the specific nature of the abuse.

Apply this code when a child presents with injuries, symptoms, or circumstances highly suggestive of abuse or neglect, and the medical evaluation confirms maltreatment has occurred, but the precise form of maltreatment remains unspecified. This is appropriate for the initial encounter where the suspicion is confirmed, and the investigation into the specific type of abuse is ongoing or pending.

• Ensure documentation clearly states "confirmed" maltreatment, even if unspecified.
• This code is for the initial encounter; subsequent encounters will require a different seventh character.
• Always look for more specific codes (e.g., T74.12XA for confirmed child physical abuse) if the type of maltreatment is identified.