2027 ICD-10-CM Diagnosis Code T74.52XAChild sexual exploitation, confirmed, initial encounter

ICD-10-CM Codes›S00–T88›T66-T78›T74

ICD-10-CM T74.52XA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T74.52XA is a billable ICD-10-CM diagnosis code for child sexual exploitation, confirmed, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 922 through 923. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 61 closely related codes. The code is restricted by the Medicare Code Editor to pediatric patients (age 0 through 17). Coders also document this condition as victim of exploitation. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, assault; External cause codes: other specified, classifiable and NEC; initial encounter; and Maltreatment/abuse.

Code Identity

ICD-10-CM Code
T74.52XA
Billable Status
Yes — Valid for Submission
Code Describes
Child sexual exploitation, confirmed, initial encounter
Short Description
Child sexual exploitation, confirmed, initial encounter
Same as the full description in the CMS dataset.
Parent Code
T74.52
Child sexual exploitation, confirmed

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT66-T78Other and unspecified effects of external causes
CategoryT74Adult and child abuse, neglect and other maltreatment, confirmed
This CodeT74.52XAChild sexual exploitation, confirmed, initial encounter

Code EditsBilling

Medicare Code Editor checks that affect claim validity for T74.52XA.

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 SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Victim of exploitation
  • Victim of forced marriage

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Adult and child abuse, neglect and other maltreatment, confirmed (T74). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to T74.52XA: its own notes plus those printed at T74, block T66-T78, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From T74 Adult and child abuse, neglect and other maltreatment, confirmed applies to 51 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From T74 Adult and child abuse, neglect and other maltreatment, confirmed applies to 51 codes
  • code, if applicable, to identify any associated current injury
  • external cause code to identify perpetrator, if known (Y07.-)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block T66-T78 Other and unspecified effects of external causes applies to 456 codes
  • if applicable, place of occurrence, such as:
  • highway rest stop (Y92.523)
  • school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
  • service areas as the place of occurrence of the external cause (Y92.52-)
  • single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
  • transport vehicle as the place of occurrence of the external cause (Y92.81-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From T74 Adult and child abuse, neglect and other maltreatment, confirmed applies to 51 codes
  • The appropriate 7th character is to be added to each code from category T74
Values for category T74 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name T74.52XA, its category, or a range that includes it.

Applicable To 1

These notes mention T74.52XA.

  • O9A.2 Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium
    Conditions in S00-T88, except T74 and T76 names T74, which includes this code

Excludes1 3

These codes carry an Excludes1 note naming T74.52XA: they are not reported together with it, unless the two conditions are unrelated.

  • T76 Adult and child abuse, neglect and other maltreatment, suspected
    adult and child maltreatment, confirmed (T74.-) names T74.-, which includes this code
  • Z04.71 Encounter for examination and observation following alleged adult physical abuse
    confirmed case of adult physical abuse (T74.-) names T74.-, which includes this code
  • Z04.72 Encounter for examination and observation following alleged child physical abuse
    confirmed case of child physical abuse (T74.-) names T74.-, which includes this code

Excludes2 4

These codes carry an Excludes2 note naming T74.52XA: its condition is not part of those codes, and both may be reported when the patient has both.

  • F94.1 Reactive attachment disorder of childhood
    maltreatment syndromes (T74.-) names T74.-, which includes this code
  • Z62 Problems related to upbringing
    maltreatment syndrome (T74.-) names T74.-, which includes this code
  • Z62.815 Personal history of intimate partner abuse in childhood
    adult and child abuse, neglect and other maltreatment, confirmed (T74.-) names T74.-, which includes this code
  • Z63 Other problems related to primary support group, including family circumstances
    maltreatment syndrome (T74.-, T76) names T74.-, which includes this code

Notes 1

These notes mention T74.52XA.

  • Y07 Perpetrator of assault, maltreatment and neglect
    Codes from this category are for use only in cases of confirmed abuse (T74.-) names T74.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EXT022
External cause codes: intent of injury, assault
Default principal diagnosis: inpatient No · outpatient No
CCSR EXT018
External cause codes: other specified, classifiable and NEC; initial encounter
Default principal diagnosis: inpatient No · outpatient No
CCSR INJ032
Maltreatment/abuse
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code History & ChangesHistory

Replacement T74.52XA replaces the following previously assigned code(s):

  • T74.22XA - Child sexual abuse, confirmed, initial encounter
FY 2019AddedAdded to the ICD-10-CM code setEffective October 1, 2018.
FY 2020–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About T74.52XAOverview

What is the ICD-10 code for child sexual exploitation, confirmed, initial encounter?

The ICD-10-CM code for child sexual exploitation, confirmed, initial encounter is T74.52XA (sometimes written as T7452XA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is T74.52XA (Child sexual exploitation, confirmed) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report child sexual exploitation, confirmed, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in T74.52XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for child sexual exploitation, confirmed, such as an emergency visit or first evaluation.

What MS-DRG does T74.52XA group to?

When child sexual exploitation, confirmed, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.

Is T74.52XA a CC or MCC?

CMS lists T74.52XA as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 61 closely related codes in its exclusion list.