2024 ICD-10-CM Diagnosis Code T74.22XD

Child sexual abuse, confirmed, subsequent encounter

ICD-10-CM Code:
T74.22XD
ICD-10 Code for:
Child sexual abuse, confirmed, subsequent encounter
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Other and unspecified effects of external causes
      (T66-T78)
      • Adult and child abuse, neglect and other maltreatment, confirmed
        (T74)

T74.22XD is a billable diagnosis code used to specify a medical diagnosis of child sexual abuse, confirmed, subsequent encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code T74.22XD 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.

T74.22XD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like child sexual abuse confirmed. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abnormal sexual behavior
  • Abuse of disabled person
  • Abusive sexual relationship with partner
  • Attempted anal rape of female
  • Attempted male rape
  • Attempted rape of female
  • Attempted vaginal rape of female
  • Child abuse
  • Child abuse
  • Child abuse
  • Child abuse
  • Child abuse
  • Child abuse
  • Child concubinage
  • Child concubinage
  • Child sex abuse
  • Child sex abuse
  • Child sex abuse
  • Contact sexual abuse of child
  • Contact sexual abuse of child
  • Contact sexual abuse of child
  • Domestic abuse
  • Domestic sexual abuse
  • Forcible intercourse
  • Forcible sexual assault
  • Forcible sexual assault
  • Homicide and assault by fight, brawl and rape
  • Homosexual forcible assault
  • Incapacitated sexual assault
  • Incest
  • Incestuous child concubinage
  • Incestuous concubinage with girls
  • Intrafamilial sexual abuse
  • Non-incestuous child concubinage
  • Overt sexual harassment by male
  • Rape - assault
  • Rape with vaginal intercourse
  • Recipient of obscene telephone call
  • Serious reportable event associated with criminal activity
  • Sexual abuse
  • Sexual abuse of disabled person
  • Sexual assault
  • Sexual assault of female with touching of breast through clothing
  • Sexual assault of female with touching of sexual parts
  • Sexual assault of female with touching of unclothed breast
  • Sexual assault of female with touching of vulva through clothing
  • Sexual assault on a patient within or on the grounds of the healthcare facility
  • Sexual assault on female with touching of unclothed vulva
  • Sexual assault on male with anal penetration by penis
  • Sexual assault on male with touching of sexual organs
  • Sexual assault on male with touching of sexual organs through clothing
  • Sexual assault on male with touching of unclothed sexual organs
  • Sexual assault with anal penetration by penis
  • Sexual assault with digital penetration of anus
  • Sexual assault with digital penetration of vagina
  • Sexual assault with oral penetration by penis
  • Sexual assault with penetration of anus with foreign body
  • Sexual assault with penetration of vagina with foreign body
  • Sexual battery
  • Sexual harassment
  • Sexual harassment
  • Sexual harassment
  • Sexual harassment by female
  • Sexual harassment by male
  • Sexual harassment by male
  • Statutory rape
  • Statutory rape
  • Victim of child abuse
  • Victim of child abuse
  • Victim of child sexual abuse
  • Victim of child sexual exploitation
  • Victim of forced sexual activity
  • Victim of incest
  • Victim of intimate partner abuse
  • Victim of rape
  • Victim of sexual abuse by intimate partner
  • Victim of sexual aggression
  • Victim of sexual aggression
  • Victim of sexual assault by member of household
  • Victim of sexual grooming
  • Victim of sexual harassment
  • Victim of statutory rape
  • Witness of indecent exposure

Clinical Classification

Clinical Information

  • Adult Survivors of Child Abuse

    persons who were child victims of violence and abuse including physical, sexual, or emotional maltreatment.
  • Child Abuse

    abuse of children in a family, institutional, or other setting. (apa, thesaurus of psychological index terms, 1994)
  • Child Abuse, Sexual

    sexual maltreatment of the child or minor.
  • Incest

    sexual intercourse between persons so closely related that they are forbidden by law to marry.
  • Sexual Harassment

    a form of discrimination in the workplace which violates the civil rights act of 1964. offensive sexual conduct may include unwelcome advances, comments, touching, questions about marital status and sex practices, etc. both men and women may be aggressors or victims. (slee and slee, health care terms, 2d ed, p.404). while civil rights legislation deals with sexual harassment in the workplace, the behavior is not restricted to this; it may take place outside the work environment: in schools, athletics, and other social milieus and activities.

Coding Guidelines

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 aplicable episode of care:

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

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM 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).

Present on Admission (POA)

T74.22XD is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T74.22XD to ICD-9-CM

  • ICD-9-CM Code: V58.89 - Other specfied aftercare
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


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.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.