Z69.11Encounter for mental health services for victim of spousal or partner abuse

Z69.11 is the ICD-10-CM diagnosis code for encounter for mental health services for victim of spousal or partner abuse. It belongs to category Z69 (encounter for mental health services for victim and perpetrator of abuse), block Z69-Z76 (persons encountering health services in other circumstances) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z69.1 (encounter for mental health services for spousal or partner abuse problems), Z69.11 is specifically for encounter for mental health services for victim of spousal or partner abuse. Related codes cover perpetrator of spousal or partner abuse (Z69.12).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V61.11 (counseling for victim of spousal and partner abuse).