2026 ICD-10-CM Diagnosis Code T74.A2XSChild financial abuse, confirmed, sequela

ICD-10-CM Codes›S00–T88›T66-T78›T74

ICD-10-CM T74.A2XS
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T74.A2XS is a billable ICD-10-CM diagnosis code for child financial abuse, 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 2026 (October 1, 2025 through September 30, 2026) 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 financial abuse. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, sequela.

Code Identity

ICD-10-CM Code
T74.A2XS
Billable Status
Yes — Valid for Submission
Code Describes
Child financial abuse, confirmed, sequela
Short Description
Child financial abuse, confirmed, sequela
Same as the full description in the CMS dataset.
Parent Code
T74.A2
Child financial abuse, 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.A2XSChild financial abuse, confirmed, sequela

Code EditsBilling

Medicare Code Editor checks that affect claim validity for T74.A2XS.

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.A2XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Financial abuse

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 2026, published by CMS and the National Center for Health Statistics.

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

Code History & ChangesHistory

Replacement T74.A2XS replaces the following previously assigned code(s):

  • T74.92XS - Unspecified child maltreatment, confirmed, sequela
FY 2024AddedAdded to the ICD-10-CM code setEffective October 1, 2023.
FY 2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T74.A2XSOverview

Is T74.A2XS (Child financial abuse, confirmed) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report child financial abuse, confirmed, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in T74.A2XS mean?

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

What MS-DRG does T74.A2XS group to?

When child financial abuse, confirmed, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can T74.A2XS be reported for?

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

Is T74.A2XS exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for child financial abuse, confirmed, sequela on inpatient claims.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.