ICD-10-CM Billable Code

T74.2

Sexual abuse, confirmed

Clinical Classification Guidelines

Inclusion Terms

  • Rape, confirmed
  • Sexual assault, confirmed

Medical Intelligence & Overview

ICD-10 code T74.2 refers to confirmed cases of sexual abuse, including rape and sexual assault. This classification is used by healthcare professionals to document instances where sexual violence has been verified through medical assessment and supporting evidence. Recognizing and documenting such incidents is crucial for medical treatment, legal processes, and psychological support for survivors.

Causes & Symptoms

Clinical Causes: Non-consensual sexual contact or activity Forcible intercourse or penetration Victim's lack of consent due to deceit, threats, or incapacity Situations involving coercion or manipulation Sexual contact with individuals unable to provide informed consent (e.g., minors, individuals with cognitive impairments)

Key Symptoms: Physical injuries, such as tears, bruises, or bleeding in genital or anal areas Pain or soreness in genital or related regions Bleeding or discharge from reproductive organs Psychological effects like anxiety, fear, or flashbacks Emotional distress, including shame, guilt, or depression

Diagnostic & Treatment

Diagnosis Path: Diagnosing confirmed sexual abuse involves a thorough medical examination, which may include physical assessments, collection of forensic evidence, and documenting any physical injuries. Healthcare providers may also perform laboratory tests to detect sexually transmitted infections or pregnancy. Detailed history-taking and documentation are essential components of the diagnostic process, often coordinated with legal authorities if applicable.

Treatment Protocols: Treatment for confirmed sexual abuse is multidisciplinary, often involving medical care, counseling, and legal support. Medical interventions may include treatment of physical injuries, testing and prophylaxis for sexually transmitted infections, and contraception if needed. Psychological counseling provides emotional support and trauma processing. Collaboration with legal authorities is vital for justice and preventing future abuse.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is T74.2 a billable ICD-10 code?
Yes, T74.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report T74.2?
Clinical documentation must specify the nature of Sexual abuse, confirmed and any associated comorbidities for accurate reporting.

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