ICD-10-CM Code T74.22XD

Child sexual abuse, confirmed, subsequent encounter

Version 2020 Replaced Code Billable Code Pediatric Diagnoses POA Exempt

Valid for Submission

T74.22XD is a billable code used to specify a medical diagnosis of child sexual abuse, confirmed, subsequent encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code T74.22XD 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 is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code T74.22XD 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.

ICD-10:T74.22XD
Short Description:Child sexual abuse, confirmed, subsequent encounter
Long Description:Child sexual abuse, confirmed, subsequent encounter

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).

  • T74.52XD - Child sexual exploitation, confirmed, subsequent encounter

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 - Pediatric. Age range is 0–17 years inclusive (e.g., Reye’s syndrome, routine child health exam).

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
  • 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

The ICD-10 code T74.22XD 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 10/01/2020 through 09/30/2020.

  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Present on Admission (POA)

T74.22XD 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.

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 T74.22XD to ICD-9

  • V58.89 - Other specfied aftercare (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


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.


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