Valid for Submission
T76.22XS is a billable diagnosis code used to specify a medical diagnosis of child sexual abuse, suspected, sequela. The code T76.22XS 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 T76.22XS might also be used to specify conditions or terms like homicide and assault by fight, brawl and rape, homicide or assault by rape, suspected victim of child abuse, suspected victim of child sexual abuse, suspected victim of sexual abuse , suspected victim of sexual grooming, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code T76.22XS 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.
T76.22XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like child sexual abuse suspected. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Homicide and assault by fight, brawl and rape
- Homicide or assault by rape
- Suspected victim of child abuse
- Suspected victim of child sexual abuse
- Suspected victim of sexual abuse
- Suspected victim of sexual grooming
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert T76.22XS to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T76.22XS 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.
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)