Adult sexual abuse, confirmed, sequela

This code signifies a confirmed instance of sexual abuse experienced during adulthood, where the patient is now presenting with long-term health consequences directly attributable to that abuse. It indicates that the acute phase of the abuse is over, and the focus is on the ongoing physical, psychological, or social sequelae.

Apply this code when a patient, having experienced confirmed sexual abuse as an adult, presents for treatment of conditions that are documented as direct sequelae of that trauma. This includes follow-up appointments for mental health disorders, chronic pain, or other physical manifestations clearly linked to the past abuse.

• Ensure documentation explicitly confirms the sexual abuse occurred during adulthood and that the current condition is a sequela.
• Always code the specific sequela (e.g., PTSD, depression, chronic pelvic pain) first, followed by this code as a secondary diagnosis.
• This code should not be used for acute abuse encounters; refer to codes for current abuse for those situations.