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

2018/2019 ICD-10-CM Diagnosis Code T76.12XA

Child physical abuse, suspected, initial encounter

2016

2017

2018

2019

Billable/Specific Code

Pediatric Dx (0-17 years)

T76.12XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2018/2019 edition of ICD-10-CM T76.12XA became effective on October 1, 2018.
This is the American ICD-10-CM version of T76.12XA - other international versions of ICD-10 T76.12XA may differ.

ICD-10-CM Coding Rules

T76.12XA is applicable to pediatric patients aged 0 - 17 years inclusive.

The following code(s) above T76.12XA 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 T76.12XA:

S00-T88
2019 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

Approximate Synonyms

Suspected child physical abuse

ICD-10-CM T76.12XA is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

922 Other injury, poisoning and toxic effect diagnoses with mcc
923 Other injury, poisoning and toxic effect diagnoses without mcc

Convert T76.12XA 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

ICD-10-CM Codes Adjacent To T76.12XA

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

T76.22 Child sexual abuse, suspected

T76.22XA …… initial encounter

T76.22XD …… subsequent encounter

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

2018/2019 ICD-10-CM Diagnosis Code T76.12XA

Child physical abuse, suspected, initial encounter

Injury, poisoning and certain other consequences of external causes

Adult and child abuse, neglect and other maltreatment, suspected