T74.22XS
T74.22XS — Child 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).