2021 ICD-10-CM Code T74.22XA
Child sexual abuse, confirmed, initial encounter
Valid for Submission
T74.22XA is a billable diagnosis code used to specify a medical diagnosis of child sexual abuse, confirmed, initial encounter. The code T74.22XA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code T74.22XA might also be used to specify conditions or terms like abnormal sexual behavior, abuse of disabled person, abusive sexual relationship with partner, attempted anal rape of female, attempted male rape , attempted rape of female, etc.
The code T74.22XA is applicable for patients aged 0 through 17 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.
T74.22XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like child sexual abuse confirmed. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
ICD-10: | T74.22XA |
Short Description: | Child sexual abuse, confirmed, initial encounter |
Long Description: | Child sexual abuse, confirmed, initial encounter |
Code Classification
Replaced Code
This code was replaced in the 2021 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, 2020. This code was replaced for the FY 2021 (October 1, 2020 - September 30, 2021).
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:
- Pediatric diagnoses - The Medicare Code Editor detects inconsistencies in pediatric cases by checking a patient's age and any diagnosis on the patient's record. The pediatric code edits apply to patients age range is 0–17 years inclusive (e.g., Reye's syndrome, routine child health exam).
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abnormal sexual behavior
- Abuse of disabled person
- Abusive sexual relationship with partner
- Attempted anal rape of female
- Attempted male rape
- Attempted rape of female
- Attempted vaginal rape of female
- Child concubinage
- Child concubinage
- Child sex abuse
- Child sex abuse
- Child sex abuse
- Contact sexual abuse of child
- Contact sexual abuse of child
- Domestic abuse
- Domestic sexual abuse
- Forcible intercourse
- Forcible sexual assault
- Homicide and assault by fight, brawl and rape
- Homosexual forcible assault
- Incapacitated sexual assault
- Incest
- Incestuous child concubinage
- Incestuous concubinage with girls
- Intrafamilial sexual abuse
- Non-incestuous child concubinage
- 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 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 by female
- Sexual harassment by male
- Statutory rape
- Statutory rape
- Victim of child abuse
- Victim of child sexual abuse
- Victim of child sexual exploitation
- Victim of rape
- Victim of sexual aggression
- Victim of sexual aggression
- Victim of sexual assault by member of household
- Victim of sexual grooming
- Victim of sexual harassment
- Victim of statutory rape
- Witness of indecent exposure
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code T74.22XA is grouped in the following groups for version MS-DRG V38.0 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 10/01/2020 through 09/30/2021.
Convert T74.22XA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T74.22XA its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 995.53 - Child sexual abuse (Approximate Flag)
Information for Patients
Child Sexual Abuse
Sexual abuse is one form of child abuse. It includes a wide range of actions between a child and an adult or older child. Often these involve body contact, but not always. Exposing one's genitals to children or pressuring them for sex is sexual abuse. Using a child for pornography is also sexual abuse.
Most sexual abusers know the child they abuse. They may be family friends, neighbors or babysitters. About one-third of abusers are related to the child. Most abusers are men. If you think a child may have been abused, it's important to report it.
- Sexual abuse in children -- what to know (Medical Encyclopedia)
[Learn More]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)