T74.51XA (Adult forced sexual exploitation, confirmed, initial encounter) compared with T74.51XD (Adult forced sexual exploitation, confirmed, subsequent encounter), from the official CMS tabular data. T74.51XA and T74.51XD code the same injury at a different phase of treatment.
Same underlying diagnosis, different encounter phase.
The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.
Source: ICD-10-CM Official Guidelines, Section I.C.19.a
Same injury, other encounter phase. T74.51XA and T74.51XD code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
| T74.51XAAdult forced sexual exploitation, confirmed, initial encounter | T74.51XDAdult forced sexual exploitation, confirmed, subsequent encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Adult forced sexual exploitation, confirmed, initial encounter is a billable ICD-10-CM diagnosis code (T74.51A). | Adult forced sexual exploitation, confirmed, subsequent encounter is a billable ICD-10-CM diagnosis code (T74.51D). |
| 7th character | The appropriate 7th character is to be added to each code from category T74 | The appropriate 7th character is to be added to each code from category T74 |
| Use additional code | code, if applicable, to identify any associated current injury external cause code to identify perpetrator, if known (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