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  3. S00–T88
  4. T66-T78
  5. T76
  6. 2024 ICD-10-CM Code T76.1
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code T76.1

Physical abuse, suspected

ICD-10-CM Code:
T76.1
ICD-10 Code for:
Physical abuse, suspected
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Other and unspecified effects of external causes
      (T66-T78)
      • Adult and child abuse, neglect and other maltreatment, suspected
        (T76)

T76.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of physical abuse, suspected. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Physical abuse, suspected

Non-specific codes like T76.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for physical abuse, suspected:

  • T76.11 for Adult physical abuse, suspected - NON-BILLABLE CODE

  • Use T76.11XA for initial encounter - BILLABLE CODE

  • Use T76.11XD for subsequent encounter - BILLABLE CODE

  • Use T76.11XS for sequela - BILLABLE CODE

  • T76.12 for Child physical abuse, suspected - NON-BILLABLE CODE

  • Use T76.12XA for initial encounter - BILLABLE CODE

  • Use T76.12XD for subsequent encounter - BILLABLE CODE

  • Use T76.12XS for sequela - BILLABLE CODE

Coding Guidelines

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 aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.