T76 — Adult and child abuse, neglect and other maltreatment, suspected
Is T76 billable?
No — T76 is a non-billable header code. T76 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 48 billable codes beneath T76.
Billable codes under this header
- 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
- T76.31XSAdult psychological abuse, suspected, sequela
- T76.32XAChild psychological abuse, suspected, initial encounter
- T76.32XDChild psychological abuse, suspected, subsequent encounter
- T76.32XSChild psychological abuse, suspected, sequela
- T76.51XAAdult forced sexual exploitation, suspected, initial encounter
- T76.51XDAdult forced sexual exploitation, suspected, subsequent encounter
- T76.51XSAdult forced sexual exploitation, suspected, sequela
- T76.52XAChild sexual exploitation, suspected, initial encounter
- T76.52XDChild sexual exploitation, suspected, subsequent encounter
- T76.52XSChild sexual exploitation, suspected, sequela
- T76.61XAAdult forced labor exploitation, suspected, initial encounter
- T76.61XDAdult forced labor exploitation, suspected, subsequent encounter
- T76.61XSAdult forced labor exploitation, suspected, sequela
- T76.62XAChild forced labor exploitation, suspected, initial encounter
- T76.62XDChild forced labor exploitation, suspected, subsequent encounter
- T76.62XSChild forced labor exploitation, suspected, sequela
- T76.91XAUnspecified adult maltreatment, suspected, initial encounter
- T76.91XDUnspecified adult maltreatment, suspected, subsequent encounter
- T76.91XSUnspecified adult maltreatment, suspected, sequela
- T76.92XAUnspecified child maltreatment, suspected, initial encounter
- T76.92XDUnspecified child maltreatment, suspected, subsequent encounter
- T76.92XSUnspecified child maltreatment, suspected, sequela
- T76.A1XAAdult financial abuse, suspected, initial encounter
- T76.A1XDAdult financial abuse, suspected, subsequent encounter
- T76.A1XSAdult financial abuse, suspected, sequela
- T76.A2XAChild financial abuse, suspected, initial encounter
- T76.A2XDChild financial abuse, suspected, subsequent encounter
- T76.A2XSChild financial abuse, suspected, sequela
T76 at a glance
| Code | T76 |
|---|---|
| Description | Adult and child abuse, neglect and other maltreatment, suspected |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with T76 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- 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
Report an additional code alongside T76 to fully describe the condition. T76 is sequenced first.
- code, if applicable, to identify any associated current injury
Use additional code — inherited from Chapter 19
Report an additional code alongside T76 to fully describe the condition. T76 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T76, but a patient may have both at the same time. When documentation supports it, T76 and the excluded code may both be reported.
Code also — inherited from T66-T78
Two codes may be needed to describe the condition fully. Whether T76 is sequenced first depends on the reason for the encounter.
- , 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-)
What codes fall under T76? (8)
- T76.0Neglect or abandonment, suspectednot billable
- T76.1Physical abuse, suspectednot billable
- T76.2Sexual abuse, suspectednot billable
- T76.3Psychological abuse, suspectednot billable
- T76.5Forced sexual exploitation, suspectednot billable
- T76.6Forced labor exploitation, suspectednot billable
- T76.9Unspecified maltreatment, suspectednot billable
- T76.AFinancial abuse, suspectednot billable
How long has T76 existed?
T76 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.