T74.2
Sexual abuse, confirmed
T74.2 is a non-billable ICD-10-CM code header for sexual abuse, confirmed. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are T74.21 Adult sexual abuse, confirmed and T74.22 Child sexual abuse, confirmed. Its coding notes include a Use additional code instruction, a Code also instruction, 2 Excludes1 entries and 2 Excludes2 entries.
7th characters
Every code below needs one of these (defined at T74).
The appropriate 7th character is to be added to each code from category T74
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.
Abuse or neglect is coded as confirmed unless the documentation says suspected. Assault and perpetrator codes are added for confirmed cases only.
Use additional code
Add the listed code as a secondary code, if known.
- code, if applicable, to identify any associated current injury
- external cause code to identify perpetrator, if known (Y07.-)
Also from chapter/block level (1 note)
- code to identify any retained foreign body, if applicable (Z18.-)
Code also
Two codes may be needed to describe the condition. This note gives no sequencing order.
Also from chapter/block level (6 notes)
- , 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-)
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (2 notes)
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Inclusion terms
Conditions classified to this code.
- Rape, confirmed
- Sexual assault, confirmed
Notes
Also from chapter/block level (2 notes)
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.