ICD-10 Code T76.91XA

Unspecified adult maltreatment, suspected, initial encounter

Version 2019 Billable Code Adult Diagnoses
ICD-10: T76.91XA
Short Description:Unspecified adult maltreatment, suspected, initial encounter
Long Description:Unspecified adult maltreatment, suspected, initial encounter

Valid for Submission

ICD-10 T76.91XA is a billable code used to specify a medical diagnosis of unspecified adult maltreatment, suspected, initial encounter. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

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)

Information for Medical Professionals

Code Edits

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:

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Convert T76.91XA to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 995.80 - Adult maltreatment NOS (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms:

  • Suspected domestic abuse
  • Suspected elderly person maltreatment
  • Suspected victim of adult 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.