ICDcodes.org
FY2027

T76.91XS — Unspecified adult maltreatment, suspected, sequela

BillableUnspecified

Is T76.91XS billable?

Yes, but T76.91XS is an unspecified code. T76.91XS is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, T76.91XS is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting T76.91XS — the more specific alternatives are listed below.

T76.91XS at a glance

CodeT76.91XS
DescriptionUnspecified adult maltreatment, suspected, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in T76.91XS?

In T76.91XS, the 7th character S means sequela. The 7th character is required for T76.91XS to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does T76.91XS group to?

T76.91XS sits in MDC 21 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 922Other Injury, Poisoning and Toxic Effect Diagnoses with MCCmedical
  • 923Other Injury, Poisoning and Toxic Effect Diagnoses without MCCmedical

How is T76.91XS listed in the Alphabetic Index?

The Alphabetic Index lists these routes under T76.91, the nearest indexed parent of T76.91XS. Use them to find the family, then select the specific code.

  • Maltreatment › adult › suspected

Excludes1 — never code together — inherited from T76

The conditions below can never be reported together with T76.91XS 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 T76.91XS to fully describe the condition. T76.91XS is sequenced first.

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

Use additional code — inherited from T76

Report an additional code alongside T76.91XS to fully describe the condition. T76.91XS 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 T76.91XS, but a patient may have both at the same time. When documentation supports it, T76.91XS 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 T76.91XS 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-)

How long has T76.91XS existed?

T76.91XS 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.