Z04.4
Encounter for examination and observation following alleged rape
Z04.4 is a non-billable ICD-10-CM code header for encounter for examination and observation following alleged rape. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are Z04.41 Encounter for examination and observation following alleged adult rape and Z04.42 Encounter for examination and observation following alleged child rape. Its coding notes include 1 Excludes2 entry.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
Observation codes are for a suspected condition that is ruled out. They are not used when related signs, symptoms, illness or injury are present, and are primarily first-listed.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Includes
Further defines or gives examples of the content of the category.
- encounter for examination for medicolegal reasons
- This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled-out. This category is also for use for administrative and legal observation status.
Inclusion terms
Conditions classified to this code.
- Encounter for examination and observation of victim following alleged rape
- Encounter for examination and observation of victim following alleged sexual abuse
Notes
Also from chapter/block level (4 notes)
- Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.