T74.92XA Unspecified child maltreatment, confirmed, initial encounter

ICD10CM code

#### Name of the Condition
- Unspecified Child Maltreatment, Confirmed, Initial Encounter

#### Summary
- Unspecified child maltreatment refers to the physical, sexual, or emotional abuse, neglect, or exploitation of children. It is confirmed through investigations but lacks specific categorization in this initial encounter documentation.

#### Causes
- Causes are varied and can include family stress, substance abuse, mental health issues, a history of abuse in caregivers, and poor family support systems.

#### Risk Factors
- Risk factors include family substance abuse, domestic violence, high parental conflict, poverty, and lack of social support.

#### Symptoms
- Symptoms of child maltreatment can include unexplained injuries, fearfulness, withdrawal, aggressive behavior, developmental delays, or sudden changes in behavior or school performance.

#### Diagnosis
- Diagnosis is typically achieved through interviews, physical examinations, collaboration with child protective services, and psychological evaluations. 

#### Treatment Options
- Treatment may involve a multidisciplinary approach:
  - **Medical Care**: Address immediate health needs or injuries.
  - **Psychological Therapy**: Counseling to help the child cope with trauma.
  - **Social Services**: Ensuring a safe living environment and necessary support for the family.
  - **Legal Action**: In some cases, involvement of the legal system to ensure child safety.

#### Prognosis and Follow-Up
- Outcomes vary based on severity and intervention. Early intervention improves the prognosis significantly. Regular follow-up with medical and psychological professionals is crucial for ongoing recovery and safety.

#### Complications
- Potential complications include long-term psychological issues such as PTSD, anxiety, depression, difficulties in school or social settings, and chronic medical problems.

#### Lifestyle & Prevention
- Prevention strategies include fostering strong parenting skills, building supportive community networks, and ensuring access to mental health and substance abuse treatment programs.

#### When to Seek Professional Help
- Any signs of abuse or significant behavioral changes in a child should prompt immediate consultation with healthcare providers or child protective services.

#### Additional Resources
- [National Child Abuse Hotline](https://www.childhelp.org)
- [American Academy of Pediatrics - HealthyChildren.org](https://www.healthychildren.org)

#### Tips for Medical Coders
- Carefully review the documentation to confirm the presence of maltreatment.
- Ensure specificity in coding by examining all available records to cross-reference signs of maltreatment with this diagnosis code.
- Note that the 'X' in the ICD code indicates an unspecified form, which should be used only when detailed records are unavailable. Avoid assuming specifics where documentation is unclear.

Medical Policies and Guidelines for Unspecified child maltreatment, confirmed, initial encounter

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