T74.21XS Adult sexual abuse, confirmed, sequela

ICD10CM code

#### Name of the Condition
- Adult Sexual Abuse, Confirmed, Sequela (ICD-10 Code: T74.21XS)

#### Summary
- The condition refers to the confirmed case of adult sexual abuse and focuses on the subsequent physical, psychological, or emotional effects following the original episode of abuse.

#### Causes
- The underlying cause is non-consensual sexual contact or assault inflicted by another person, leading to a sequela—meaning the long-term consequences or conditions resulting from the initial event.

#### Risk Factors
- History of domestic violence or abuse
- Mental health disorders
- Social and economic vulnerabilities
- Substance abuse issues

#### Symptoms
- Psychological distress, such as PTSD, depression, or anxiety
- Physical injuries or chronic pain
- Sexual dysfunction or fear of intimacy
- Emotional detachment or social withdrawal

#### Diagnosis
- Psychological assessments and interviews
- Physical examination for injuries related to the assault
- Use of trauma-informed care approaches

#### Treatment Options
- Psychotherapy, such as cognitive-behavioral therapy (CBT) or trauma-focused therapy, to address mental health issues
- Medication to manage symptoms like anxiety or depression
- Support groups for emotional support and healing
- Medical treatments for physical injuries if required

#### Prognosis and Follow-Up
- The prognosis varies depending on the severity of the abuse and the victim’s support system. Recovery often requires ongoing psychological support.
- Regular psychiatric follow-ups and support group participation can aid in long-term recovery and emotional stability.

#### Complications
- Chronic mental health conditions such as PTSD or major depressive disorder
- Increased risk of substance abuse
- Difficulties in relationships or societal functioning

#### Lifestyle & Prevention
- Encouraging healthy coping mechanisms and resilience building
- Creating awareness and education on consent and sexual violence prevention
- Community programs offering support and safety resources

#### When to Seek Professional Help
- Persistent feelings of depression, anxiety, or other troubling emotional states
- Physical signs of abuse that do not heal over time
- Inability to manage daily tasks or maintain relationships due to the effects of abuse

#### Additional Resources
- RAINN (Rape, Abuse & Incest National Network): [rainn.org](https://www.rainn.org)
- National Sexual Violence Resource Center: [nsvrc.org](https://www.nsvrc.org)
- National Coalition Against Domestic Violence: [ncadv.org](https://www.ncadv.org)

#### Tips for Medical Coders
- Ensure the context of the sequela is well-documented, as it pertains to the long-term effects following the confirmed abuse.
- Be aware that T74.21XS indicates a sequela, not the initial abuse event.
- Cross-reference with mental health conditions that may also need coding, such as PTSD or depression.

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