Personal history of unspecified abuse in childhood

This code indicates that a patient has a documented history of experiencing abuse during their childhood, but the specific type of abuse (e.g., physical, sexual, emotional) is not specified in the medical record. It signifies a past event that may have ongoing health implications for the individual.

Use this code when a patient's medical history explicitly states a history of childhood abuse, but the documentation lacks details about the nature of that abuse. This is often identified during a comprehensive patient intake or mental health assessment where past trauma is discussed.

• Only assign this code when the documentation explicitly states "unspecified abuse" or when the type of abuse cannot be determined from the record.
• Avoid using this code if a more specific type of childhood abuse (e.g., physical, sexual, emotional neglect) is documented; instead, use the appropriate Z62.81- subcategory.
• Remember the Excludes1 note: do not code this for current child abuse; refer to the T74.92 or T76.92 series for active abuse situations.