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    v1.0.28
    OpenPayerBilling CodesOther and unspecified effects of external causesICD-10-CM t76-adult-and-child-abuse-neglect
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    ICD-10-CM Code For Adult And Child Abuse Neglect And Other Maltreatment Suspected: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group T76 includes suspected cases of adult and child abuse, neglect, and other forms of maltreatment such as physical abuse, sexual abuse, psychological abuse, and neglect when confirmation is not established. These ICD-10-CM diagnosis codes are used to document clinical encounters where maltreatment is suspected, capturing the nature of the suspected harm and relevant clinical findings or concerns. Accurate coding within the ICD-10-CM T76 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM T76: Adult And Child Abuse, Neglect And Other Maltreatment, Suspected Overview

    The ICD-10-CM T76 diagnoses represent suspected adult and child physical, sexual, or psychological abuse, neglect, and other forms of maltreatment. These codes target situations where maltreatment is suspected but not confirmed, affecting physical and mental health across patient populations. Accurate coding matters for reimbursement because it ensures clinical documentation supports claims and appropriate resource allocation for care and investigation.

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    When to Use

    Use a code from this group when a clinician documents that abuse, neglect, or other maltreatment is suspected but not confirmed and when the encounter centers on evaluation, reporting, or initial management of suspected maltreatment. These codes apply regardless of whether the suspicion arises from clinical findings, patient or caregiver statements, or external reports.

    ICD-10-CM Codes

    48 rows

    ICD-10-CM CodeDescription
    T76.01XAAdult neglect or abandonment, suspected, initial encounter
    T76.01XDAdult neglect or abandonment, suspected, subsequent encounter
    T76.01XSAdult neglect or abandonment, suspected, sequela
    T76.02XAChild neglect or abandonment, suspected, initial encounter
    T76.02XDChild neglect or abandonment, suspected, subsequent encounter
    T76.02XSChild neglect or abandonment, suspected, sequela
    T76.11XAAdult physical abuse, suspected, initial encounter
    T76.11XDAdult physical abuse, suspected, subsequent encounter
    T76.11XSAdult physical abuse, suspected, sequela
    T76.12XAChild physical abuse, suspected, initial encounter
    T76.12XDChild physical abuse, suspected, subsequent encounter
    T76.12XSChild physical abuse, suspected, sequela
    T76.21XAAdult sexual abuse, suspected, initial encounter
    T76.21XDAdult sexual abuse, suspected, subsequent encounter
    T76.21XSAdult sexual abuse, suspected, sequela
    T76.22XAChild sexual abuse, suspected, initial encounter
    T76.22XDChild sexual abuse, suspected, subsequent encounter
    T76.22XSChild sexual abuse, suspected, sequela
    T76.31XAAdult psychological abuse, suspected, initial encounter
    T76.31XDAdult psychological abuse, suspected, subsequent encounter

    Showing 1–20 of 48

    DRG Codes

    4 rows

    DRG CodeDescription
    922Other Injury, Poisoning and Toxic Effect Diagnoses with MCC
    923Other Injury, Poisoning and Toxic Effect Diagnoses without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to the emergency department with multiple bruises, a laceration, and inconsistent history after a partner reports a fall; the patient appears fearful and later discloses possible physical assault by a caregiver but is uncertain about timing. The ED documents suspected intimate partner violence and initiates a forensic/exposure evaluation; because abuse is suspected but not confirmed, a suspected adult physical abuse code is assigned. Typical codes: T76.11XA, T76.11XD.
    • A pediatric patient is brought by a school nurse for failure to thrive, frequent unexplained injuries, and delays in development; social services reports ongoing concerns for neglect and inadequate supervision over several months. The outpatient pediatrician documents ongoing suspected neglect and coordinates child protective services involvement; an initial encounter code for suspected child neglect is used to reflect the ongoing protective investigation. Typical codes: T76.12XA, T76.12XD.
    • An older adult residing in a long-term care facility is evaluated for new pressure injuries and signs of malnutrition; the facility staff reports possible caregiver neglect discovered during a quality-of-care review, and the clinician documents suspected elder neglect as a significant comorbidity complicating medical management. A code indicating suspected adult neglect is assigned to capture the social determinant affecting the patient’s clinical course. Typical codes: T76.21XA, T76.21XD.

    Related Codes

    T66-RADIATION-SICKNESS-UNSPECIFIED

    ICD-10-CM Code For Radiation Sickness Unspecified: Group Overview

    T67-EFFECTS-OF-HEAT-AND-LIGHT

    ICD-10-CM Code For Effects Of Heat And Light: Group Overview

    T68-HYPOTHERMIA

    ICD-10-CM Code For Hypothermia: Group Overview

    T69-OTHER-EFFECTS-OF-REDUCED-TEMPERATURE

    ICD-10-CM Code For Other Effects Of Reduced Temperature: Group Overview

    T70-EFFECTS-OF-AIR-PRESSURE

    ICD-10-CM Code For Effects Of Air Pressure And Water Pressure: Group Overview

    T71-ASPHYXIATION-AND-RELATED-CONDITIONS

    ICD-10-CM Code For Asphyxiation: Group Overview

    T74-ADULT-AND-CHILD-ABUSE

    ICD-10-CM Code For Adult And Child Abuse Neglect And Other Maltreatment Confirmed: Group Overview

    T75-OTHER-AND-UNSPECIFIED-EFFECTS

    ICD-10-CM Code For Other And Unspecified Effects Of Other External Causes: Group Overview

    T78-ADVERSE-EFFECTS-NOT-ELSEWHERE-CLASSIFIED

    ICD-10-CM Code For Adverse Effects Not Elsewhere Classified: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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