Coding, Classification & Reimbursement

DSM-5 Inpatient Coding for Perpetrator of Child Sexual Abuse

  • 1.  DSM-5 Inpatient Coding for Perpetrator of Child Sexual Abuse

    Posted 9 days ago
    I work at an inpatient behavioral health hospital where I am coding for a patient who is being treated as a parental perpetrator of child sexual abuse (Principal diagnosis).

    According to the DSM-5 Diagnostic and Statistical Manual of Mental Disorders Fifth Edition, Section III, Abuse and Neglect, it states:  "...in addition to listings of the confirmed or suspected event of abuse or neglect, other codes are provided for use if the current clinical encounter is to provide mental health services to either the victim or the perpetrator of the abuse or neglect."

    Should this be interpreted to mean that I should list the code for Child sexual abuse, confirmed - Initial encounter (T74.22XA) AND the code for Other circumstances related to child sexual abuse - Encounter for mental health services for perpetrator of parental child sexual abuse (Z69.011) OR just the perpetrator code (Z69.011)?

    It seems to me it should only be the Z69.011

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    Linda Parks
    Clinical Documentation Specialist
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