ICD-10-CM Code T74.21XS

Adult sexual abuse, confirmed, sequela

Version 2020 Replaced Code Billable Code Adult Diagnoses POA Exempt

Valid for Submission

T74.21XS is a billable code used to specify a medical diagnosis of adult sexual abuse, confirmed, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code T74.21XS might also be used to specify conditions or terms like abuse of disabled person, abusive sexual relationship with partner, adult victim of non-domestic sexual abuse, adult victim of sexual abuse, adult victim of sexual abuse, adult victim of sexual abuse during military service, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code T74.21XS is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:T74.21XS
Short Description:Adult sexual abuse, confirmed, sequela
Long Description:Adult sexual abuse, confirmed, sequela

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • T74.51XS - Adult forced sexual exploitation, confirmed, sequela

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abuse of disabled person
  • Abusive sexual relationship with partner
  • Adult victim of non-domestic sexual abuse
  • Adult victim of sexual abuse
  • Adult victim of sexual abuse
  • Adult victim of sexual abuse during military service
  • Attempted anal rape of female
  • Attempted male rape
  • Attempted rape of female
  • Attempted vaginal rape of female
  • Domestic abuse
  • Domestic abuse
  • Domestic abuse of adult
  • Domestic sexual abuse
  • Domestic sexual abuse
  • Domestic sexual abuse of adult
  • Forcible intercourse
  • Forcible sexual assault
  • Homicide and assault by fight, brawl and rape
  • Homosexual forcible assault
  • Intrafamilial sexual abuse
  • Overt sexual harassment by male
  • Rape - assault
  • Rape with vaginal intercourse
  • Recipient of obscene telephone call
  • Serious reportable event associated with criminal activity
  • Sexual abuse
  • Sexual abuse of adult
  • Sexual abuse of adult
  • Sexual abuse of disabled person
  • Sexual assault
  • Sexual assault of female with touching of breast through clothing
  • Sexual assault of female with touching of sexual parts
  • Sexual assault of female with touching of unclothed breast
  • Sexual assault of female with touching of vulva through clothing
  • Sexual assault on a patient within or on the grounds of the healthcare facility
  • Sexual assault on female with touching of unclothed vulva
  • Sexual assault on male with anal penetration by penis
  • Sexual assault on male with touching of sexual organs
  • Sexual assault on male with touching of sexual organs through clothing
  • Sexual assault on male with touching of unclothed sexual organs
  • Sexual assault with anal penetration by penis
  • Sexual assault with digital penetration of anus
  • Sexual assault with digital penetration of vagina
  • Sexual assault with oral penetration by penis
  • Sexual assault with penetration of anus with foreign body
  • Sexual assault with penetration of vagina with foreign body
  • Sexual battery
  • Sexual harassment
  • Sexual harassment
  • Sexual harassment
  • Sexual harassment by female
  • Sexual harassment by male
  • Sexual harassment by male
  • Statutory rape
  • Victim of abusive sexual relationship
  • Victim of abusive sexual relationship with husband
  • Victim of abusive sexual relationship with partner
  • Victim of abusive sexual relationship with wife
  • Victim of intimate partner abuse
  • Victim of rape
  • Victim of rape
  • Victim of rape as adult
  • Victim of sexual aggression
  • Victim of sexual aggression
  • Victim of sexual aggression
  • Victim of sexual aggression
  • Victim of sexual assault by intimate partner
  • Victim of sexual assault by member of household
  • Victim of sexual harassment
  • Victim of statutory rape
  • Witness of indecent exposure

Diagnostic Related Groups

The ICD-10 code T74.21XS is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Present on Admission (POA)

T74.21XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T74.21XS to ICD-9

  • 909.9 - Late eff exter cause NEC (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Other and unspecified effects of external causes (T66-T78)
      • Adult and child abuse, neglect and oth maltreat, confirmed (T74)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Sexual Assault

Sexual assault is any sexual activity to which you haven't freely given your consent. This includes completed or attempted sex acts that are against your will. Sometimes it can involve a victim who is unable to consent. It also includes abusive sexual contact. It can happen to men, women or children.

The attacker can be anyone - a current or former partner, a family member, a person in position of power or trust, a friend, an acquaintance, or a stranger.

Sexual assault can affect your health in many ways. It can lead to long-term health and emotional problems. It is important to seek help if you have been assaulted. First, get to a safe place. Then dial 9-1-1 or go to a hospital for medical care. You may want to have counseling to deal with your feelings. The most important thing to know is that the assault was not your fault.

Centers for Disease Control and Prevention


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