icd10free.comPowered by Curo

ICD-10 Coding for Sexual Assault(T74.21XA, T74.21, T74.2)

Save

Explore comprehensive ICD-10 coding guidelines for sexual assault, including confirmed and suspected cases, with detailed documentation requirements.

Also known as:
Sexual AbuseRape
Related ICD-10 Code Ranges

Complete code families applicable to Sexual Assault

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

→
Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
T74.21XAAdult sexual abuse, confirmed, initial encounter
T76.21XAAdult sexual abuse, suspected, initial encounter
Z04.41Encounter for examination and observation following alleged adult rape
Primary ICD-10-CM Codes
Adult sexual abuse, confirmed, initial encounter
T74.21XABillable
Adult sexual abuse, confirmed
T74.21
Differential Codes

Alternative codes to consider when ruling out similar conditions

Adult sexual abuse, suspected, initial encounterT76.21

Use when assault is suspected but not confirmed by evidence.

Adult sexual abuse, confirmed, initial encounterT74.21

Use when assault is confirmed by evidence.

Documentation & Coding Risks

Avoid these common issues when documenting Sexual Assault.

Ambiguous documentation of assault status

Impact

Clinical: Leads to incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation

Use specific language to indicate confirmation or suspicion., Ensure thorough documentation of clinical findings.

Incorrect sequencing of injury codes before T74.21

Impact

Reimbursement: Incorrect sequencing can lead to lower reimbursement rates., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data reporting and analysis.

Mitigation

Always sequence T74.21 before any injury codes.

Using T74.21 and T76.21 together

Impact

Reimbursement: May result in claim denial., Compliance: Violates ICD-10 Excludes1 note., Data Quality: Confusion in clinical data interpretation.

Mitigation

Choose either T74.21 or T76.21 based on confirmation status.

Incorrect code sequencing

Impact

Failure to sequence T74.21 before injury codes.

Mitigation

Implement coding audits to ensure correct sequencing.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with T74.21XA.