T74.22 Child sexual abuse, confirmed

Non-billable ICD-10-CM code.

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

Excludes1 (never code together)

• 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.-)

7th character note

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

7th character required

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

Applies from T74.2 Sexual abuse, confirmed

Applicable to

• Rape, confirmed
• Sexual assault, confirmed

Code annotations containing back-references to T74.22

Back-references to T74.22

• Type 1 Excludes: Z62.810 Personal history of physical and sexual abuse in childhood ("current child sexual abuse (T74.22, T76.22)")

Back-references to T74.2

• Type 2 Excludes: T74.1 Physical abuse, confirmed ("sexual abuse (T74.2-)")

Back-references to T74

• Type 2 Excludes: F94.1 Reactive attachment disorder of childhood ("maltreatment syndromes (T74.-)")
• Type 1 Excludes: T76 Adult and child abuse, neglect and other maltreatment, suspected ("adult and child maltreatment, confirmed (T74.-)")
• Type 1 Excludes: Z04.71 Encounter for examination and observation following alleged adult physical abuse ("confirmed case of adult physical abuse (T74.-)")
• Type 1 Excludes: Z04.72 Encounter for examination and observation following alleged child physical abuse ("confirmed case of child physical abuse (T74.-)")
• Type 2 Excludes: Z62 Problems related to upbringing ("maltreatment syndrome (T74.-)")
• Type 2 Excludes: Z62.815 Personal history of intimate partner abuse in childhood ("adult and child abuse, neglect and other maltreatment, confirmed (T74.-)")
• Type 2 Excludes: Z63 Other problems related to primary support group, including family circumstances ("maltreatment syndrome (T74.-, T76)")

Diagnosis Index entries for T74.22

• Maltreatment › child › sexual abuse › confirmed
• Rape › child › confirmed

Nearby codes

• T74.2 Sexual abuse, confirmed
• T74.21 Adult sexual abuse, confirmed
• T74.21XA Adult sexual abuse, confirmed, initial encounter
• T74.21XD Adult sexual abuse, confirmed, subsequent encounter
• T74.21XS Adult sexual abuse, confirmed, sequela
• T74.22 Child sexual abuse, confirmed (this code)
• T74.22XA Child sexual abuse, confirmed, initial encounter
• T74.22XD Child sexual abuse, confirmed, subsequent encounter
• T74.22XS Child sexual abuse, confirmed, sequela
• T74.3 Psychological abuse, confirmed
• T74.31 Adult psychological abuse, confirmed