T74.22
T74.22: Child sexual abuse, confirmed
Non-billable headerICD-10-CM
T74.22 is a non-billable header ICD-10-CM code for child sexual abuse, confirmed. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category T74
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with T74.22
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z04.71Encounter for examination and observation following alleged adult physical abuse
- Z04.72Encounter for examination and observation following alleged child physical abuse
- Z62.810Personal history of physical and sexual abuse in childhood
- T76Adult and child abuse, neglect and other maltreatment, suspected
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Rape›child›confirmed
- Maltreatment›child›sexual abuse›confirmed
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead T74.22
3 child codes. Green means billable.