Personal history of physical and sexual abuse in childhood

This diagnosis code indicates a patient's documented past experience of physical and/or sexual abuse that occurred during their childhood. It signifies that the abuse is no longer ongoing but has left a historical impact on the individual's health and well-being. This history can be relevant to current mental health conditions, chronic pain, or other sequelae.

Use this code when a patient's medical record clearly documents a history of childhood physical and/or sexual abuse, and this history is pertinent to their current medical care or psychological assessment. This is appropriate for patients presenting with conditions potentially linked to past trauma, such as PTSD, depression, anxiety disorders, or certain physical symptoms without clear organic cause.

• Always ensure the documentation explicitly states the abuse occurred in childhood and is no longer active.
• Do not use this code for current abuse; refer to the Excludes1 notes for appropriate codes for ongoing situations.
• This code is often used as a secondary diagnosis to provide context for a primary mental health or physical diagnosis.