ICD-10 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
Version 2019 of the ICD-10-CM diagnosis code T76.11XS

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

Deleted Code
This code was deleted in the 2019 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This code was replaced for the FY 2019 (October 1, 2018 - September 30, 2019).
  • T76.61XS - Adult forced labor exploitation, suspected, sequela

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)
Version 2019 Replaced Code Billable Code Adult Diagnoses POA Exempt

Information for Medical Professionals


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

Convert to ICD-9
  • 909.9 - Late eff exter cause NEC (Approximate Flag)

Present on Admission (POA)
The code T76.11XS is exempt from POA reporting.

Synonyms
  • Suspected elderly person maltreatment
  • Suspected victim of elder physical abuse
  • Suspected victim of physical abuse

ICD-10 Footnotes

General Equivalence Map Definitions
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.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present 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.

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