Complete ICD-10-CM coding and documentation guide for icd-10 coding for sexual assault includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Sexual Assault
Use ICD-10 code T74.21XA for adult sexual abuse, confirmed, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Assault mechanism
Use to specify the mechanism of assault.
Perpetrator of assault
Use to identify the perpetrator if known.
Injury codes
Use for any documented injuries related to the suspected assault.
The ICD-10 code for confirmed sexual assault is T74.21XA, used when there is forensic or clinical evidence supporting the claim.
Use Z04.41 for examinations following an alleged rape when no injuries are confirmed.