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ICD-10-CM 2027 diagnosis code

T74.51XDAdult forced sexual exploitation, confirmed, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th characterAdult · age 15–124

T74.51XD is a valid, billable ICD-10-CM code for adult forced sexual exploitation, confirmed, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Adult forced sexual exploitation, confirmed, subs

Code last changed in FY2019 (effective October 1, 2018). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About T74.51XD

T74.51XD is the ICD-10-CM diagnosis code for adult forced sexual exploitation, confirmed, subsequent encounter. It belongs to category T74 (adult and child abuse, neglect and other maltreatment, confirmed), block T66-T78 (other and unspecified effects of external causes) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

Use an additional code, if applicable, to identify any associated current injury. Use an additional code for: external cause code to identify perpetrator, if known (Y07.-).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

The Medicare Code Editor expects this diagnosis only for patients age 15 through 124.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2019, effective October 1, 2018.

7th character

Dsubsequent encounter

CC/MCC status for this injury by encounter: CC for A; Neither CC nor MCC for D, S.

Other encounter types for T74.51:

Notes that apply from higher levels

Instructions written at a parent level also apply to T74.51XD.

› From T74 Adult and child abuse, neglect and other maltreatment, confirmed
Excludes1
  • abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
  • adult and child maltreatment, suspected (T76.-)
Use additional code
  • code, if applicable, to identify any associated current injury
  • external cause code to identify perpetrator, if known (Y07.-)

Broader instructions also apply from T66-T78 Other and unspecified effects of external causes and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2019 (effective 10/1/2018): Added
  • No changes since FY2019.

Common questions about T74.51XD

Is T74.51XD billable?

Yes. T74.51XD is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of T74.51XD mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can T74.51XD be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict T74.51XD as a principal diagnosis.

Is T74.51XD a CC or MCC?

No. T74.51XD is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does T74.51XD group to?

T74.51XD is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.