ICD-10 Diagnosis Code T76.11XS

Adult physical abuse, suspected, sequela

Diagnosis Code T76.11XS

ICD-10: T76.11XS
Short Description: Adult physical abuse, suspected, sequela
Long Description: Adult physical abuse, suspected, sequela
This is the 2018 version of the ICD-10-CM diagnosis code T76.11XS

Valid for Submission
The code T76.11XS is valid for submission for HIPAA-covered transactions.

Code Classification
  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Other and unspecified effects of external causes (T66-T78)
      • Adult and child abuse, neglect and oth maltreat, suspected (T76)

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Adult diagnoses Additional informationCallout TooltipAdult diagnoses
Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).


Diagnostic Related Groups
The diagnosis code T76.11XS is grouped in the following Diagnostic Related Group(s) (MS-DRG V34.0)

  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code T76.11XS is exempt from POA reporting.

Synonyms
  • Suspected victim of physical abuse

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