Valid for Submission
T76.12XS is a billable diagnosis code used to specify a medical diagnosis of child physical abuse, suspected, sequela. The code T76.12XS 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 T76.12XS 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 is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code T76.12XS 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.
T76.12XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like child physical abuse suspected. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
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
Present on Admission (POA)
Convert T76.12XS to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T76.12XS 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)