Alphabetic Index FY2027

T76

Adult and child abuse, neglect and other maltreatment, suspected

FY2027Chapter 19: Injury, poisoning and certain other consequences of external causes/T66–T78 Other and unspecified effects of external causes

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

T76 is a non-billable ICD-10-CM code category for adult and child abuse, neglect and other maltreatment, suspected. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are T76.0 Neglect or abandonment, suspected; T76.1 Physical abuse, suspected; T76.2 Sexual abuse, suspected; T76.3 Psychological abuse, suspected and 4 more. Its coding notes include a Use additional code instruction, a Code also instruction, 6 Excludes1 entries and 2 Excludes2 entries.

7th characters

Every code below needs one of these.

The appropriate 7th character is to be added to each code from category T76

  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.

Guidelines I.C.19.aInjuries: application of 7th charactersRead the official text

Abuse or neglect is coded as confirmed unless the documentation says suspected. Assault and perpetrator codes are added for confirmed cases only.

Guidelines I.C.19.fAbuse, neglect and other maltreatmentRead the official text

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code, if applicable, to identify any associated current injury
Also from chapter/block level (1 note)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

Also from chapter/block level (6 notes)
Inherited from T66–T78 Other and unspecified effects of external causes
  • , if applicable, place of occurrence, such as:
    • highway rest stop (Y92.523)
    • school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
    • service areas as the place of occurrence of the external cause (Y92.52-)
    • single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
    • transport vehicle as the place of occurrence of the external cause (Y92.81-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • 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)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Notes

Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • 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
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

More specific codes under T76 8