Valid for Submission
T76.12XA is a billable diagnosis code used to specify a medical diagnosis of child physical abuse, suspected, initial encounter. The code T76.12XA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code T76.12XA might also be used to specify conditions or terms like suspected non-accidental injury to child, suspected victim of child abuse, suspected victim of child physical abuse or suspected victim of physical abuse.
The code T76.12XA is applicable for patients aged 0 through 17 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.
T76.12XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like child physical abuse suspected. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Suspected non-accidental injury to child
- Suspected victim of child abuse
- Suspected victim of child physical abuse
- Suspected victim of physical abuse
Diagnostic Related Groups - MS-DRG Mapping
Convert T76.12XA to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T76.12XA its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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.
Most abused children suffer greater emotional than physical damage. An abused child may become depressed. He or she may withdraw, think of suicide or become violent. An older child may use drugs or alcohol, try to run away or abuse others.
Child abuse is a serious problem. If you suspect a child is being abused or neglected, call the police or your local child welfare agency.
- Child abuse - physical (Medical Encyclopedia)
- Child neglect and emotional abuse (Medical Encyclopedia)
- Shaken baby syndrome (Medical Encyclopedia)