Child sexual abuse, confirmed, initial encounter

This diagnosis code signifies a confirmed instance of sexual abuse perpetrated against a child. It indicates that the abuse has been substantiated through investigation, medical examination, or other reliable evidence. The "initial encounter" designation specifies that this is the first time the patient is being seen for this specific condition.

Apply this code when documentation clearly states that a child has been a victim of confirmed sexual abuse and the patient is presenting for initial assessment, treatment, or forensic examination related to this event. This includes situations where the abuse has been reported to authorities and/or medically verified.

• Ensure documentation explicitly states "confirmed" or provides evidence of substantiation of the sexual abuse.
• Do not use this code for suspected or unconfirmed cases; refer to codes for suspected abuse.
• Always sequence this code as a primary diagnosis when it is the reason for the encounter.