MCMCB Pro
T74.22XS

T74.22XSChild sexual abuse, confirmed, sequela

Billable / specific codeICD-10-CMPOA exempt

T74.22XS is a billable, specific ICD-10-CM code for child sexual abuse, confirmed, sequela. It is valid for submission on a claim.

7th character "S" — sequela

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

A
initial encounter
D
subsequent encounter
S
sequela

Risk adjustment

T74.22XS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

T74.22XS is named in 6 Medicare coverage policies 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
  • A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
  • A56937Billing and Coding: Psychiatry and Psychology Services
  • A57068Billing and Coding: Ocular Photography - External

Related codes at this level

Codes that share T74.22. If T74.22XS is not quite right, the correct code is usually one of these.

Questions about T74.22XS

Is T74.22XS a billable ICD-10-CM code?
Yes. T74.22XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does T74.22XS sit in the tabular list?
Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Other and unspecified effects of external causes (T66-T78).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.