T76

Non-Billable
ChapterS00–T88
Rankcategory
Official Description

Adult and child abuse, neglect and other maltreatment, suspected

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

CH19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify any retained foreign body, if applicable (Z18.-)

T66-T78 Parent Instructions

Code Also
  • , 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-)

Instructional Notes

Excludes1(Not coded here. Use a different 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)
Use Additional Code
  • code, if applicable, to identify any associated current injury

Clinical Hierarchy

BillableHas subcodes
CH19Injury, poisoning and certain other consequences of external causes (S00-T88)
T66-T78Other and unspecified effects of external causes (T66-T78)
T76Adult and child abuse, neglect and other maltreatment, suspectedNot billable
T76.0Neglect or abandonment, suspectedSubcodes
T76.1Physical abuse, suspectedSubcodes
T76.2Sexual abuse, suspectedSubcodes
T76.3Psychological abuse, suspectedSubcodes
T76.5Forced sexual exploitation, suspectedSubcodes
T76.6Forced labor exploitation, suspectedSubcodes
T76.9Unspecified maltreatment, suspectedSubcodes
T76.AFinancial abuse, suspectedSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to T76:

blockT66-T78
Other and unspecified effects of external causes (T66-T78)
View context instructions
chapterCH19
Injury, poisoning and certain other consequences of external causes (S00-T88)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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