Child sexual abuse, confirmed

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

T74.22XA Child sexual abuse, confirmed, initial encounter
T74.22XD Child sexual abuse, confirmed, subsequent encounter
T74.22XS Child sexual abuse, confirmed, sequela

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2014 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2014 Added to the draft code set draft Child sexual abuse, confirmed

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from T74 Adult and child abuse, neglect and other maltreatment, confirmed

Seventh character required

The appropriate 7th character is to be added to each code from category T74

Excludes1 - never coded here

abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
adult and child maltreatment, suspected (T76.-)

Use additional code

code, if applicable, to identify any associated current injury
external cause code to identify perpetrator, if known (Y07.-)

Inherited from the T66-T78 section Other and unspecified effects of external causes (T66-T78)

Code also

, 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-)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Child
Battered
Aftercare
Desertion
Abandonment
Abuse > child
Improper care
Abuse > sexual
Assault, sexual
Care > improper
Abuse > physical
Abuse > psychological
Non-accidental trauma
Effect, adverse > abuse
Problem > child > abuse
Syndrome > child maltreatment
Trauma, traumatism > non-accidental
Effect, adverse > lack of care of infants
Deprivation > social > affecting infant or child
Deprivation > emotional NEC > affecting infant or child
Problem > negative life events in childhood > physical abuse
Rape > child > confirmed
Maltreatment > child > sexual abuse > confirmed

Codes in the same group

Code	Description	Status
T74.21	Adult sexual abuse, confirmed	Not billable