Encounter for exam and obs following alleged adult rape

This code signifies a healthcare encounter where an adult patient presents for medical examination and observation after experiencing alleged sexual assault. The primary purpose of this visit is for forensic evidence collection, medical assessment of injuries, and initial psychological support, rather than treatment of a confirmed diagnosis.

Apply this code when an adult patient presents to an emergency department, urgent care, or clinic specifically for evaluation following a reported rape. This includes situations where a Sexual Assault Nurse Examiner (SANE) performs the examination. It is used for the initial visit before any definitive diagnoses related to injuries or psychological trauma are established.

• Always sequence this code as the primary diagnosis for the encounter when it is the reason for the visit.
• Do not use this code if the patient is presenting for follow-up care or treatment of injuries already identified.
• Consider adding external cause codes (e.g., X95.0XXA) to provide additional detail about the circumstances of the assault, if documented.