the condition (e.g., surgical treatment, emergency department encounter, eval-
uation and treatment by a new clinician); or
D (subsequent encounter) —Use for encounters after the patient has received
active treatment for the condition and wh en he or she is receiving routine care
for the condition during the healing or re covery phase (e.g., cast change or re-
moval, removal of external or internal fixation device, medi cation adjustment,
other aftercare and follow-up visits).
Child Maltreatment and Neglect Problems
Child Physical Abuse
Child physical abuse is nonaccidental physical injury to a child—ranging from minor bruises
to severe fractures or death—occurring as a re sult of punching, beating, kicking, biting,
shaking, throwing, stabbing, choking, hitting (with a hand, stick, strap, or other object),
burning, or any other method that is inflicted by a parent, caregiver, or other individual who
has responsibility for the child. Such injury is  considered abuse regardless of whether the
caregiver intended to hurt the ch ild. Physical discipline, such as  spanking or paddling, is not
considered abuse as long as it is reasonable  and causes no bodily  injury to the child.
Child Physical Abuse, Confirmed
995.54 (T74.12XA) Initial encounter
995.54 (T74.12XD) Subsequent encounter
Child Physical Abuse, Suspected
995.54 (T76.12XA) Initial encounter
995.54 (T76.12XD) Subsequent encounter