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ICD-10-CM Codes
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S00-T88
Injury, poisoning and certain other consequences of external causes
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T66-T78
Other and unspecified effects of external causes
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T76-
Adult and child abuse, neglect and other maltreatment, suspected
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2022 ICD-10-CM Diagnosis Code T76.21XS
2022 ICD-10-CM Diagnosis Code T76.21XS
Adult sexual abuse, suspected, sequela
2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
- T76.21XS is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2022 edition of ICD-10-CM T76.21XS became effective on October 1, 2021.
- This is the American ICD-10-CM version of T76.21XS - other international versions of ICD-10 T76.21XS may differ.
ICD-10-CM Coding Rules
- T76.21XS is applicable to adult patients aged 15 - 124 years inclusive.
The following code(s) above
T76.21XS 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
T76.21XS:
- S00-T88
2022 ICD-10-CM Range S00-T88
Injury, poisoning and certain other consequences of external causesNote- 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
Use Additional- code to identify any retained foreign body, if applicable (Z18.-)
- T76
ICD-10-CM Diagnosis Code T76
Adult and child abuse, neglect and other maltreatment, suspected
2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
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
- T76.2
ICD-10-CM Diagnosis Code T76.2
Sexual abuse, suspected
2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
Type 1 Excludes- alleged abuse, ruled out (Z04.7)
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.
- T76.21XS is considered exempt from POA reporting.
ICD-10-CM T76.21XS is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
- 922 Other injury, poisoning and toxic effect diagnoses with mcc
- 923 Other injury, poisoning and toxic effect diagnoses without mcc
Convert T76.21XS 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
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
ICD-10-CM Codes Adjacent To T76.21XS
T76.12 Child physical abuse, suspected
T76.2 Sexual abuse, suspected
T76.21 Adult sexual abuse, suspected
T76.21XS
…… sequela
T76.22 Child sexual abuse, suspected
T76.3 Psychological abuse, suspected
T76.31 Adult psychological abuse, suspected
T76.32 Child psychological abuse, suspected
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
