2021 ICD-10-CM Code T76.52XA
Child sexual exploitation, suspected, initial encounter
Valid for Submission
T76.52XA is a billable diagnosis code used to specify a medical diagnosis of child sexual exploitation, suspected, initial encounter. The code T76.52XA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The code T76.52XA 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.
T76.52XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like child sexual exploitation suspected. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
| ICD-10: | T76.52XA |
| Short Description: | Child sexual exploitation, suspected, initial encounter |
| Long Description: | Child sexual exploitation, suspected, initial encounter |
Code Classification
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 - 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).
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code T76.52XA is grouped in the following groups for version MS-DRG V38.0 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 09/30/2021.
Replacement Code
T7652XA replaces the following previously assigned ICD-10 code(s):
- T76.22XA - Child sexual abuse, suspected, initial encounter
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)
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019