T74.51XS
Adult forced sexual exploitation, confirmed, sequela
T74.51XS (also written T7451XS) is a billable ICD-10-CM diagnosis code for adult forced sexual exploitation, confirmed, sequela. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 51 codes in category T74 (Adult and child abuse, neglect and other maltreatment, confirmed). The Alphabetic Index lists it under 1 entry. Its 7th character, S, means sequela. Its coding notes include a Use additional code instruction, a Code also instruction, 2 Excludes1 entries and 2 Excludes2 entries.
7th character
Category T74 requires a 7th character. T74.51 has only 5 characters, so a placeholder X fills the 6th position.
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)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Behavioral Health clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026Notes
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.
Alphabetic Index terms
Terms the official Alphabetic Index lists for T74.51. This code adds the 7th character. 1 entry