Z04.42 – Encounter for examination and observation following alleged child rape

ICD-10-CM 2027 diagnosis code · Persons encountering health services for examinations

Billable code

ICD-10-CM code Z04.42
Code
Z04.42 (claims format: Z0442)
Description
Encounter for examination and observation following alleged child rape
Short description
Encounter for exam and obs following alleged child rape
Billable
Yes – valid for HIPAA-covered transactions
Valid for
Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter
21. Factors influencing health status and contact with health services (Z00-Z99)
Block
Z00-Z13 Persons encountering health services for examinations
Parent codes
Z04 › Z04.4

Notes for Z04.42

Applicable to:
  • Suspected child rape, ruled out
  • Suspected child sexual abuse, ruled out

Notes inherited from parent codes

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

Z04 – Encounter for examination and observation for other reasons

Includes:
  • 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.

Z04.4 – Encounter for examination and observation following alleged rape

Applicable to:
  • Encounter for examination and observation of victim following alleged rape
  • Encounter for examination and observation of victim following alleged sexual abuse

Block Z00-Z13

Excludes2 (not included here):
  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
Notes:
  • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.

Index terms for Z04.42

Entries in the ICD-10-CM alphabetic index that lead to this code:

Related codes in Z04.4

Frequently asked questions

What is ICD-10 code Z04.42?

Z04.42 is the ICD-10-CM code for encounter for examination and observation following alleged child rape, in the block Z00-Z13 (Persons encountering health services for examinations).

Is Z04.42 a billable code?

Yes. Z04.42 is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does Z04.42 belong to?

It belongs to category Z04 – Encounter for examination and observation for other reasons.

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.