2017/18 ICD-10-CM Diagnosis Code T76

Adult and child abuse, neglect and other maltreatment, suspected

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code, if applicable, to identify any associated current injury
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as T76. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • adult and child maltreatment, confirmed (
    ICD-10-CM Diagnosis Code T74
    • T74 Adult and child abuse, neglect and other malt...
      • T74.0 Neglect or abandonment, confirmed
        • T74.01 Adult neglect or abandonment, confirmed
          • T74.01XA Adult neglect or abandonment, confirmed, init...
          • T74.01XD Adult neglect or abandonment, confirmed, subs...
          • T74.01XS Adult neglect or abandonment, confirmed, sequ...
        • T74.02 Child neglect or abandonment, confirmed
          • T74.02XA Child neglect or abandonment, confirmed, init...
          • T74.02XD Child neglect or abandonment, confirmed, subs...
          • T74.02XS Child neglect or abandonment, confirmed, sequ...
      • T74.1 Physical abuse, confirmed
        • T74.11 Adult physical abuse, confirmed
          • T74.11XA Adult physical abuse, confirmed, initial enco...
          • T74.11XD Adult physical abuse, confirmed, subsequent e...
          • T74.11XS …… sequela
        • T74.12 Child physical abuse, confirmed
          • T74.12XA Child physical abuse, confirmed, initial enco...
          • T74.12XD Child physical abuse, confirmed, subsequent e...
          • T74.12XS …… sequela
      • T74.2 Sexual abuse, confirmed
        • T74.21 Adult sexual abuse, confirmed
          • T74.21XA Adult sexual abuse, confirmed, initial encoun...
          • T74.21XD Adult sexual abuse, confirmed, subsequent enc...
          • T74.21XS …… sequela
        • T74.22 Child sexual abuse, confirmed
          • T74.22XA Child sexual abuse, confirmed, initial encoun...
          • T74.22XD Child sexual abuse, confirmed, subsequent enc...
          • T74.22XS …… sequela
      • T74.3 Psychological abuse, confirmed
        • T74.31 Adult psychological abuse, confirmed
          • T74.31XA Adult psychological abuse, confirmed, initial...
          • T74.31XD Adult psychological abuse, confirmed, subsequ...
          • T74.31XS Adult psychological abuse, confirmed, sequela...
        • T74.32 Child psychological abuse, confirmed
          • T74.32XA Child psychological abuse, confirmed, initial...
          • T74.32XD Child psychological abuse, confirmed, subsequ...
          • T74.32XS Child psychological abuse, confirmed, sequela...
      • T74.4 Shaken infant syndrome
      • T74.9 Unspecified maltreatment, confirmed
        • T74.91 Unspecified adult maltreatment, confirmed
          • T74.91XA Unspecified adult maltreatment, confirmed, in...
          • T74.91XD Unspecified adult maltreatment, confirmed, su...
          • T74.91XS Unspecified adult maltreatment, confirmed, se...
        • T74.92 Unspecified child maltreatment, confirmed
          • T74.92XA Unspecified child maltreatment, confirmed, in...
          • T74.92XD Unspecified child maltreatment, confirmed, su...
          • T74.92XS Unspecified child maltreatment, confirmed, se...
    T74.-
    )
  • suspected abuse and maltreatment in pregnancy (
    ICD-10-CM Diagnosis Code O9A.3

    Physical abuse complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    Type 2 Excludes
    • sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)
    Use Additional
    • code (if applicable):
    • to identify any associated current injury due to physical abuse
    • to identify the perpetrator of abuse (Y07.-)
    O9A.3-
    ,
    ICD-10-CM Diagnosis Code O9A.4

    Sexual abuse complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    Use Additional
    • code (if applicable):
    • to identify any associated current injury due to sexual abuse
    • to identify the perpetrator of abuse (Y07.-)
    O9A.4-
    ,
    ICD-10-CM Diagnosis Code O9A.5

    Psychological abuse complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    Use Additional
    • code to identify the perpetrator of abuse (Y07.-)
    O9A.5-
    )
  • suspected adult physical abuse, ruled out (
    ICD-10-CM Diagnosis Code Z04.71

    Encounter for examination and observation following alleged adult physical abuse

      2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years)
    Applicable To
    • Suspected adult physical abuse, ruled out
    Type 1 Excludes
    • confirmed case of adult physical abuse (T74.-)
    • encounter for examination and observation following alleged adult sexual abuse (Z04.41)
    • suspected case of adult physical abuse, not ruled out (T76.-)
    Z04.71
    )
  • suspected adult sexual abuse, ruled out (
    ICD-10-CM Diagnosis Code Z04.41

    Encounter for examination and observation following alleged adult rape

      2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years)
    Applicable To
    • Suspected adult rape, ruled out
    • Suspected adult sexual abuse, ruled out
    Z04.41
    )
  • suspected child physical abuse, ruled out (
    ICD-10-CM Diagnosis Code Z04.72

    Encounter for examination and observation following alleged child physical abuse

      2016 2017 2018 Billable/Specific Code Pediatric Dx (0-17 years)
    Applicable To
    • Suspected child physical abuse, ruled out
    Type 1 Excludes
    • confirmed case of child physical abuse (T74.-)
    • encounter for examination and observation following alleged child sexual abuse (Z04.42)
    • suspected case of child physical abuse, not ruled out (T76.-)
    Z04.72
    )
  • suspected child sexual abuse, ruled out (
    ICD-10-CM Diagnosis Code Z04.42

    Encounter for examination and observation following alleged child rape

      2016 2017 2018 Billable/Specific Code Pediatric Dx (0-17 years)
    Applicable To
    • Suspected child rape, ruled out
    • Suspected child sexual abuse, ruled out
    Z04.42
    )
The following code(s) above T76 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to T76:
  • S00-T88
    2018 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
Code History
Code annotations containing back-references to T76:
ICD-10-CM Codes Adjacent To T76
T75.81XD …… subsequent encounter
T75.81XS …… sequela
T75.82 Effects of weightlessness
T75.82XA …… initial encounter
T75.82XD …… subsequent encounter
T75.82XS …… sequela
T75.89 Other specified effects of external causes
T75.89XA …… initial encounter
T75.89XD …… subsequent encounter
T75.89XS …… sequela
T76 Adult and child abuse, neglect and other maltreatment, suspected
T76.0 Neglect or abandonment, suspected
T76.01 Adult neglect or abandonment, suspected
T76.01XA …… initial encounter
T76.01XD …… subsequent encounter
T76.01XS …… sequela
T76.02 Child neglect or abandonment, suspected
T76.02XA …… initial encounter
T76.02XD …… subsequent encounter
T76.02XS …… sequela
T76.1 Physical abuse, suspected

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.