2021 ICD-10-CM Diagnosis Code T76.21XS

Adult sexual abuse, suspected, sequela

    2016 2017 2018 2019 2020 2021 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 2021 edition of ICD-10-CM T76.21XS became effective on October 1, 2020.
  • 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
    2021 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
  • T76
    ICD-10-CM Diagnosis Code T76

    Adult and child abuse, neglect and other maltreatment, suspected

      2016 2017 2018 2019 2020 2021 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
    Adult and child abuse, neglect and other maltreatment, suspected
  • T76.2
    ICD-10-CM Diagnosis Code T76.2

    Sexual abuse, suspected

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Rape, suspected
    Type 1 Excludes
    • alleged abuse, ruled out (Z04.7)
    Sexual abuse, 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.
  • T76.21XS is considered exempt from POA reporting.
ICD-10-CM T76.21XS is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 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
ICD-10-CM Codes Adjacent To T76.21XS
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
T76.22XS …… sequela
T76.3 Psychological abuse, suspected
T76.31 Adult psychological abuse, suspected
T76.31XA …… initial encounter
T76.31XD …… subsequent encounter
T76.31XS …… sequela
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.