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 T76.91XS

Unspecified adult maltreatment, suspected, sequela

2016

2017

2018

2019

Billable/Specific Code

Adult Dx (15-124 years)

POA Exempt

T76.91XS 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 T76.91XS became effective on October 1, 2018.
This is the American ICD-10-CM version of T76.91XS - other international versions of ICD-10 T76.91XS may differ.

ICD-10-CM Coding Rules

T76.91XS is applicable to adult patients aged 15 - 124 years inclusive.

The following code(s) above T76.91XS 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 T76.91XS:

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

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.

T76.91XS is considered exempt from POA reporting.

ICD-10-CM T76.91XS 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 T76.91XS 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 T76.91XS

T76.61XD …… subsequent encounter

T76.61XS …… sequela

T76.62 Child forced labor exploitation, suspected

T76.62XA …… initial encounter

T76.62XD …… subsequent encounter

T76.62XS …… sequela

T76.9 Unspecified maltreatment, suspected

T76.91 Unspecified adult maltreatment, suspected

T76.91XA …… initial encounter

T76.91XD …… subsequent encounter

T76.91XS …… sequela

T76.92 Unspecified child maltreatment, suspected

T76.92XA …… initial encounter

T76.92XD …… subsequent encounter

T76.92XS …… sequela

T78 Adverse effects, not elsewhere classified

T78.0 Anaphylactic reaction due to food

T78.00 Anaphylactic reaction due to unspecified food

T78.00XA …… initial encounter

T78.00XD …… subsequent encounter

T78.00XS …… sequela

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 T76.91XS

Unspecified adult maltreatment, suspected, sequela

Injury, poisoning and certain other consequences of external causes

Adult and child abuse, neglect and other maltreatment, suspected