Z65.4 ICD-10-CM

ICD-10-CM code Z65.4 describes victim of crime. History of being a victim of crime, a relevant trauma/stress factor. It is a billable, specific code valid for claim submission. It is grouped under the “Factors Influencing Health (Z Codes)” section of the mental, behavioral, and neurodevelopmental disorders chapter.

When to use Z65.4

Z codes report encounters and circumstances that affect health but are not themselves illnesses, such as screening visits, counseling encounters, and psychosocial stressors. Use them as primary or secondary codes to capture context that supports medical necessity. For Z65.4 specifically, history of being a victim of crime, a relevant trauma/stress factor.

Documentation & billing

Document the reason for the encounter or the specific psychosocial circumstance. Pair a Z code with a diagnosis code when a condition is also present.

Common pitfalls

• Using a Z code as the only diagnosis when a mental health condition is documented.
• Confusing a screening encounter (Z13.3-) with an established diagnosis.
• Omitting psychosocial stressors that support the treatment plan.

Common search terms for Z65.4

Clinicians often look up Z65.4 using plain-language terms. This code maps to:

Frequently asked questions