ICDcodes.org
FY2027

T76.1 — Physical abuse, suspected

Not billable

Is T76.1 billable?

No — T76.1 is a non-billable header code. T76.1 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 6 billable codes beneath T76.1.

T76.1 at a glance

CodeT76.1
DescriptionPhysical abuse, suspected
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together — inherited from T76

The conditions below can never be reported together with T76.1 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 — inherited from Chapter 19

Report an additional code alongside T76.1 to fully describe the condition. T76.1 is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Use additional code — inherited from T76

Report an additional code alongside T76.1 to fully describe the condition. T76.1 is sequenced first.

  • code, if applicable, to identify any associated current injury

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T76.1, but a patient may have both at the same time. When documentation supports it, T76.1 and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Code also — inherited from T66-T78

Two codes may be needed to describe the condition fully. Whether T76.1 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 T76.1? (2)

How long has T76.1 existed?

T76.1 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.

What other codes are in the T76 family? (7)