2027 ICD-10-CM Diagnosis Code T76Adult and child abuse, neglect and other maltreatment, suspected
T76 is a non-billable ICD-10-CM category code for adult and child abuse, neglect and other maltreatment, suspected, so it cannot be submitted on claims. Use a more specific code from this category instead, such as T76.01XA, T76.01XD, T76.01XS, and T76.02XA.
Code Identity
Code Classification
Specific Coding for Adult and child abuse, neglect and oth maltreat, suspectedOverview
Non-specific codes like T76 require more characters. Use one of these billable codes instead:
T76.0 for Neglect or abandonment, suspected
T76.01 for Adult neglect or abandonment, suspected
T76.02 for Child neglect or abandonment, suspected
T76.1 for Physical abuse, suspected
T76.11 for Adult physical abuse, suspected
T76.12 for Child physical abuse, suspected
T76.2 for Sexual abuse, suspected
T76.21 for Adult sexual abuse, suspected
T76.22 for Child sexual abuse, suspected
T76.3 for Psychological abuse, suspected
T76.31 for Adult psychological abuse, suspected
T76.32 for Child psychological abuse, suspected
T76.5 for Forced sexual exploitation, suspected
T76.51 for Adult forced sexual exploitation, suspected
T76.52 for Child sexual exploitation, suspected
T76.6 for Forced labor exploitation, suspected
T76.61 for Adult forced labor exploitation, suspected
T76.62 for Child forced labor exploitation, suspected
T76.9 for Unspecified maltreatment, suspected
T76.91 for Unspecified adult maltreatment, suspected
T76.92 for Unspecified child maltreatment, suspected
T76.A for Financial abuse, suspected
T76.A1 for Adult financial abuse, suspected
T76.A2 for Child financial abuse, suspected
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Adult and child abuse, neglect and other maltreatment, suspected (T76). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to T76: its own notes plus those printed at block T66-T78 and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- adult and child maltreatment, confirmed (T74.-)
- suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
- suspected adult physical abuse, ruled out (Z04.71)
- suspected adult sexual abuse, ruled out (Z04.41)
- suspected child physical abuse, ruled out (Z04.72)
- suspected child sexual abuse, ruled out (Z04.42)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code, if applicable, to identify any associated current injury
- code to identify any retained foreign body, if applicable (Z18.-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
- if applicable, place of occurrence, such as:
- highway rest stop (Y92.523)
- school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
- service areas as the place of occurrence of the external cause (Y92.52-)
- single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
- transport vehicle as the place of occurrence of the external cause (Y92.81-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category T76
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name T76, its category, or a range that includes it.
Applicable To 1
These notes mention T76.
- O9A.2 Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperiumConditions in S00-T88, except T74 and T76
Excludes1 3
These codes carry an Excludes1 note naming T76: they are not reported together with it, unless the two conditions are unrelated.
- T74 Adult and child abuse, neglect and other maltreatment, confirmedadult and child maltreatment, suspected (T76.-)
- Z04.71 Encounter for examination and observation following alleged adult physical abusesuspected case of adult physical abuse, not ruled out (T76.-)
- Z04.72 Encounter for examination and observation following alleged child physical abusesuspected case of child physical abuse, not ruled out (T76.-)
Patient EducationClinical
Child Abuse
Child abuse is doing something or failing to do something that results in harm to a child or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About T76Overview
What is the ICD-10 code for adult and child abuse, neglect and other maltreatment, suspected?
T76 is the ICD-10-CM category for adult and child abuse, neglect and other maltreatment, suspected, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is T76 a billable code?
No. This is a category header that groups the codes for adult and child abuse, neglect and other maltreatment, suspected, and headers cannot be submitted on claims. Claims for adult and child abuse, neglect and other maltreatment, suspected need a more specific code from this category, such as T76.01XA, T76.01XD, and T76.01XS.
Can T76 be reported with a code from T74?
Not as a rule. The Excludes1 note on T76 lists "adult and child maltreatment, confirmed (T74.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
Does T76 need an additional code?
When the condition applies, yes. The Use Additional Code note reads: code, if applicable, to identify any associated current injury. The additional code is reported after T76.
