ICD-10-CM Codes
S00-T88 Injury, poisoning and certain other consequences of external causes
T66-T78 Other and unspecified effects of external causes
T76- Adult and child abuse, neglect and other maltreatment, suspected

2020 ICD-10-CM Diagnosis Code T76.11XD

Adult physical abuse, suspected, subsequent encounter

2016

2017

2018

2019

2020

Billable/Specific Code

Adult Dx (15-124 years)

POA Exempt

T76.11XD is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2020 edition of ICD-10-CM T76.11XD became effective on October 1, 2019.
This is the American ICD-10-CM version of T76.11XD - other international versions of ICD-10 T76.11XD may differ.

ICD-10-CM Coding Rules

T76.11XD is applicable to adult patients aged 15 - 124 years inclusive.

The following code(s) above T76.11XD 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 T76.11XD:

S00-T88
2020 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
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Use Additional
- code to identify any retained foreign body, if applicable (Z18.-)
Injury, poisoning and certain other consequences of external causes
T76
ICD-10-CM Diagnosis Code T76
Adult and child abuse, neglect and other maltreatment, suspected
Type 1 Excludes
- adult and child maltreatment, confirmed (T74.-)
- suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
- suspected adult physical abuse, ruled out (Z04.71)
- suspected adult sexual abuse, ruled out (Z04.41)
- suspected child physical abuse, ruled out (Z04.72)
- suspected child sexual abuse, ruled out (Z04.42)
Use Additional
- code, if applicable, to identify any associated current injury
Adult and child abuse, neglect and other maltreatment, suspected

Present On Admission

POA Help

"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.

T76.11XD is considered exempt from POA reporting.

ICD-10-CM T76.11XD is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):

949 Aftercare with cc/mcc
950 Aftercare without cc/mcc

Convert T76.11XD to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change

ICD-10-CM Codes Adjacent To T76.11XD

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

T76.11 Adult physical abuse, suspected

T76.11XA …… initial encounter

T76.11XD …… subsequent encounter

T76.11XS …… sequela

T76.12 Child physical abuse, suspected

T76.12XA …… initial encounter

T76.12XD …… subsequent encounter

T76.12XS …… sequela

T76.2 Sexual abuse, suspected

T76.21 Adult sexual abuse, suspected

T76.21XA …… initial encounter

T76.21XD …… subsequent encounter

T76.21XS …… sequela

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

2020 ICD-10-CM Diagnosis Code T76.11XD

Adult physical abuse, suspected, subsequent encounter

Injury, poisoning and certain other consequences of external causes

Adult and child abuse, neglect and other maltreatment, suspected