ICD-9-CM Diagnosis Code 995.53 : Child sexual abuse. ICD-9-CM 995.53 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 995.53 should only be used for claims with a date of service on or before September 30, 2015.
Full
AnswerWhat is the ICD 10 code for suspected sexual abuse?
2019 ICD-10-CM Diagnosis Code T76.2 Sexual abuse, suspected Non-Billable/Non-Specific Code Applicable To Rape, suspected Type 1 Excludes alleged abuse, ruled out ( Z04.7) Code History Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
What is the ICD 10 code for physical exam for child abuse?
Encounter for examination and observation following alleged child physical abuse. Z04.72 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z04.72 became effective on October 1, 2018.
What is the CPT code for victim of rape?
Code 995.53 is the Victim, the E codes E967.0 - E967.9 identifies the perpetrator. You would also use V71.5 (Observation following alleged rape or seduction) This includes the victim and culprit.
What is the CPT code for abuse and neglect?
Code V71.81, Abuse and neglect, is to be used to identify cases where a patient is observed for suspected abuse or neglect, and it is ruled out.
Not Valid for Submission
995.83 is a legacy non-billable code used to specify a medical diagnosis of adult sexual abuse. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Convert 995.83 to ICD-10
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
Information for Medical Professionals
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:
ICD-9 Footnotes
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
What is the ICd 10 code for child abuse?
Child sexual abuse, suspected, initial encounter 1 T76.22XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM T76.22XA became effective on October 1, 2020. 3 This is the American ICD-10-CM version of T76.22XA - other international versions of ICD-10 T76.22XA may differ.
What is the secondary code for Chapter 20?
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.
When is the ICd 10 code for sexual abuse?
The 2021 edition of ICD-10-CM T76.2 became effective on October 1, 2020.
What is the secondary code for Chapter 20?
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
What is the code for observation for other specified suspected conditions?
Code V71.8, Observation for other specified suspected conditions, has been expanded with two new codes. Code V71.81, Abuse and neglect, is to be used to identify cases where a patient is observed for suspected abuse or neglect, and it is ruled out. If the abuse or neglect were confirmed the appropriate code from either subcategory 995.5, Child maltreatment syndrome, or 995.8, Other specified adverse effects not elsewhere classified, would be assigned instead of V71.81. Code V71.89 is used to identify observation for all other suspected conditions.
What is V71.5 code?
The V71.5 is for an ALLEGED rapeNOT FOUND. you would not use this code in conjunction with a code for the abuse and the e code. You would use it when abuse had been suspected but then ruled out.
What is code 995.53?
Code 995.53 - sexual abuse of a child - (perpetrator)... I cannot find a code for sexual abuse of a child - (victim), or a combined code for sexual abuse of a child - victim and perpetrator. Any help would be appreciated
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