T74.4XXA – Shaken infant syndrome, initial encounter

ICD-10-CM 2027 diagnosis code · Other and unspecified effects of external causes

Billable code

ICD-10-CM code T74.4XXA

Code: T74.4XXA (claims format: T744XXA)
Description: Shaken infant syndrome, initial encounter
Billable: Yes – valid for HIPAA-covered transactions
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 19. Injury, poisoning and certain other consequences of external causes (S00-T88)
Block: T66-T78 Other and unspecified effects of external causes
Parent codes: T74 › T74.4

7th character values

Codes in this category need a 7th character to describe the encounter or episode of care.

Character	Meaning
`A`	initial encounter
`D`	subsequent encounter
`S`	sequela

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

T74 – Adult and child abuse, neglect and other maltreatment, confirmed

Excludes1 (not coded here):

abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
adult and child maltreatment, suspected (T76.-)

Use additional code:

code, if applicable, to identify any associated current injury
external cause code to identify perpetrator, if known (Y07.-)

7th character note:

The appropriate 7th character is to be added to each code from category T74

Block T66-T78

Code also:

, if applicable, place of occurrence, such as:
highway rest stop (Y92.523)
school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
service areas as the place of occurrence of the external cause (Y92.52-)
single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
transport vehicle as the place of occurrence of the external cause (Y92.81-)

Related codes in T74.4

Frequently asked questions

What is ICD-10 code T74.4XXA?

T74.4XXA is the ICD-10-CM code for shaken infant syndrome, initial encounter, in the block T66-T78 (Other and unspecified effects of external causes).

Is T74.4XXA a billable code?

Yes. T74.4XXA is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does T74.4XXA belong to?

It belongs to category T74 – Adult and child abuse, neglect and other maltreatment, confirmed.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.