O9A.4 vs T74.52XD
O9A.4 (Sexual abuse complicating pregnancy, childbirth and the puerperium) compared with T74.52XD (Child sexual exploitation, confirmed, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. T74.52XD carries an Excludes1 note covering O9A.4: “abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| O9A.4Sexual abuse complicating pregnancy, childbirth and the puerperium | T74.52XDChild sexual exploitation, confirmed, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Sexual abuse complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O9A.4). | Child sexual exploitation, confirmed, subsequent encounter is a billable ICD-10-CM diagnosis code (T74.52D). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T74 |
| Includes | Conditions in T74.21 or T76.21 | — |
| Use additional code | code (if applicable): to identify any associated current injury due to sexual abuse to identify the perpetrator of abuse (Y07.-) | code, if applicable, to identify any associated current injury external cause code to identify perpetrator, if known (Y07.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources