2027 ICD-10-CM Diagnosis Code T74.52XSChild sexual exploitation, confirmed, sequela

ICD-10-CM Codes›S00–T88›T66-T78›T74

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

T74.52XS is a billable ICD-10-CM diagnosis code for child sexual exploitation, confirmed, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. 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. The code is restricted by the Medicare Code Editor to pediatric patients (age 0 through 17) and exempt from POA reporting. Coders also document this condition as victim of exploitation. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, sequela.

Code Identity

ICD-10-CM Code
T74.52XS
Billable Status
Yes — Valid for Submission
Code Describes
Child sexual exploitation, confirmed, sequela
Short Description
Child sexual exploitation, confirmed, sequela
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 CodeT74.52XSChild sexual exploitation, confirmed, sequela

Code EditsBilling

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

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).

Present on Admission (POA)Billing

T74.52XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Other and unspecified effects of external causes (T66-T78).

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 T74.52XS: 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
  • Dsubsequent encounter
  • Ssequela this code

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

Referenced in Other NotesGuidance

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

Applicable To 1

These notes mention T74.52XS.

  • 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 T74.52XS: 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 T74.52XS: 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 T74.52XS.

  • 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 INJ074
Effect of other external causes, sequela
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 T74.52XS replaces the following previously assigned code(s):

  • T74.22XS - Child sexual abuse, confirmed, sequela
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 T74.52XSOverview

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

The ICD-10-CM code for child sexual exploitation, confirmed, sequela is T74.52XS (sometimes written as T7452XS). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

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

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

What does the 7th character S in T74.52XS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the child sexual exploitation, confirmed itself has resolved, not the original event.

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

When child sexual exploitation, confirmed, sequela 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.

Who can T74.52XS be reported for?

The Medicare Code Editor checks child sexual exploitation, confirmed, sequela against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.