T76
Header — not billableAdult and child abuse, neglect and other maltreatment, suspected
The ICD-10 code for adult and child abuse, neglect and other maltreatment, suspected is T76.
T76 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 8 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- 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)
7th character definitions
These definitions specify what each valid 7th-character value means for codes in this category.
- [object Object]
7th character note
This category requires a 7th character to indicate additional clinical detail (e.g. encounter type: initial, subsequent, sequela). The code is incomplete without it.
- The appropriate 7th character is to be added to each code from category T76
Use additional code
This code represents an underlying condition. When a related manifestation is also present, coding convention calls for an additional code to be listed after this one.
- code, if applicable, to identify any associated current injury
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •If the associated manifestation or related condition noted above is also documented, an additional code should be reported alongside this one.
- •This category requires a 7th character. Documentation should clearly indicate the episode of care (initial encounter, subsequent encounter, or sequela).
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under T76
- T76.0Neglect or abandonment, suspectednon-billable header
- T76.1Physical abuse, suspectednon-billable header
- T76.2Sexual abuse, suspectednon-billable header
- T76.3Psychological abuse, suspectednon-billable header
- T76.5Forced sexual exploitation, suspectednon-billable header
- T76.6Forced labor exploitation, suspectednon-billable header
- T76.9Unspecified maltreatment, suspectednon-billable header
- T76.AFinancial abuse, suspectednon-billable header
Related codes in this category
- T66Radiation sickness, unspecified
- T67Effects of heat and lightnon-billable header
- T68Hypothermia
- T69Other effects of reduced temperaturenon-billable header
- T70Effects of air pressure and water pressurenon-billable header
- T71Asphyxiationnon-billable header
- T73Effects of other deprivationnon-billable header
- T74Adult and child abuse, neglect and other maltreatment, confirmednon-billable header
- T75Other and unspecified effects of other external causesnon-billable header
- T78Adverse effects, not elsewhere classifiednon-billable header
- T76Adult and child abuse, neglect and other maltreatment, suspectednon-billable header