Sexual Assault ICD-10-CM Codes

Sexual Assault ICD-10-CM Codes

Learn about the sexual assault ICD codes you can use through this guide.

By Matt Olivares on Aug 8, 2025.

Fact Checked by Karina Jimenea.

Use Code

What ICD codes are used for sexual assault?

When addressing sexual assault, it's essential to be familiar with the specific sexual assault ICD codes for accurate clinical documentation and billing. Sexual assault is a broad term encompassing a range of non-consensual sexual activities.

Here are some commonly used ICD codes related to this condition:

  • T74.21XA - Adult sexual abuse, confirmed, initial encounter: This code is used for confirmed cases of adult sexual abuse during the initial encounter. Use T74.21XD for subsequent encounters, and T74.21XS for sequela.
  • T76.21XA - Adult sexual abuse, suspected, initial encounter: This code is used when there's a suspicion of adult sexual abuse during the initial encounter. Use T76.21XD for subsequent encounters, and T76.21XS for sequela.
  • T74.22XA - Child sexual abuse, confirmed, initial encounter: It's for confirmed cases of child sexual abuse during the initial encounter. Use T74.22XD for subsequent encounters, and T74.22XS for sequela.
  • T76.22XA - Child sexual abuse, suspected, initial encounter: Same as 76.21XA, but this time, it's for suspected cases of child sexual abuse during the initial encounter. Use T76.22XD for subsequent encounters, and T76.22XS for sequela.
  • Z62.810 - Personal history of physical and sexual abuse in childhood: This is meant to be used if the patient is confirmed to have a personal history of physical and sexual abuse during their childhood.

Using the right codes ensures that victims receive the appropriate care and support and that healthcare providers are reimbursed accurately.

Which sexual assault ICD codes are billable?

All the ICD codes mentioned for sexual assault are typically billable as they represent specific medical conditions or scenarios that require intervention. Proper documentation is crucial to ensure accurate billing and prevent potential discrepancies.

Clinical information

Sexual assault is a grave concern with specific clinical characteristics. Here's what clinicians and patients should be aware of:

  • Sexual assault can have profound physical, psychological, and emotional effects on the victim.
  • Immediate medical attention is crucial, including evidence collection, STI testing, and emergency contraception.
  • Counseling and support services are essential for the victim's recovery.
  • Confidentiality and sensitivity are paramount when dealing with sexual assault cases.
  • Prevention and awareness campaigns can play a role in reducing the incidence of sexual assault.

Synonyms include

  • Rape
  • Non-consensual sexual activity
  • Forced sexual contact
  • Sexual abuse
  • Sexual violence
  • Suspected sexual abuse
  • Confirmed sexual abuse
  • Confirmed sexual assault in a relationship
  • Suspected abuse
  • Sexual maltreatment

Popular search terms for sexual assault ICD-10-CM diagnosis codes

  • Sexual assualt ICD-10 code
  • ICD-10 sexual assualt
  • Sexual assault diagnosis codes
  • ICD-10 codes for sexual assault
  • ICD codes for patient's confirmed to have been sexually assaulted

Commonly asked questions

It's essential to seek medical attention immediately, even without apparent physical injuries. Medical professionals can provide necessary care, including evidence collection.

While it's a personal decision, reporting can help bring perpetrators to justice and prevent further assaults. However, the victim's well-being and wishes should always be prioritized.

Many organizations and helplines offer support, counseling, and resources for sexual assault victims. It's crucial to connect with local resources or seek recommendations from healthcare providers.

Related ICDs

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