T74.21XD Adult sexual abuse, confirmed, subsequent encounter

ICD10CM code

#### Name of the Condition
- Adult Sexual Abuse, Confirmed, Subsequent Encounter 
- ICD-10 Code: T74.21XD

#### Summary
Adult sexual abuse is a term describing unwanted or coercive sexual behavior experienced by an adult. This ICD code is used for cases of confirmed abuse in subsequent medical encounters.

#### Causes
The root cause of adult sexual abuse is the perpetrator's desire to exert power and control through sexual violence. Cultural, societal, and situational factors can contribute, but no specific factor guarantees such abuse.

#### Risk Factors
- History of domestic violence
- Substance abuse in the household
- Socioeconomic challenges
- Previous episodes of abuse
- Isolation or lack of support network

#### Symptoms
- Physical injuries or trauma
- Anxiety, depression, or PTSD
- Changes in behavior or mood
- Fearfulness or avoidance of certain situations or individuals
- Physical signs of sexual abuse, such as STIs or injuries

#### Diagnosis
- Clinical evaluation and history taking
- Psychological assessment
- Forensic examination and evidence collection
- Collaboration with law enforcement and social services

#### Treatment Options
- Psychological counseling or therapy to address trauma
- Medical treatment for any physical injuries
- Medications for managing anxiety, depression, or PTSD
- Community or group support for emotional recovery
- Legal assistance if pursuing charges

#### Prognosis and Follow-Up
- Prognosis varies; recovery may take time and depend on the quality of support and interventions.
- Regular follow-up appointments to monitor mental health and recovery progress are crucial.

#### Complications
- Chronic mental health conditions like PTSD or depression
- Risk of re-exposure to violence or abuse
- Social isolation or difficulty in forming relationships
- Physical health issues resulting from untreated injuries

#### Lifestyle & Prevention
- Building supportive social networks
- Access to community resources and awareness programs
- Education and training on recognizing and responding to abuse
- Encouraging empowerment and self-protection strategies

#### When to Seek Professional Help
- Experiencing persistent, unexplained physical symptoms
- Emotional distress or difficulty coping with everyday life
- Thoughts of self-harm or harm to others
- Feeling unsafe or at risk of further abuse

#### Additional Resources
- RAINN (Rape, Abuse & Incest National Network): [www.rainn.org](https://www.rainn.org/)
- National Domestic Violence Hotline: [www.thehotline.org](https://www.thehotline.org/)
- Local health departments and community support services

#### Tips for Medical Coders
- Ensure that the abuse is confirmed to use code T74.21XD.
- Accurately note the use of the "subsequent encounter" designation, indicating continued treatment or follow-up.
- Double-check documentation for details of the abuse to avoid under-coding or miscoding.

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