T76
Non-Billable

Adult and child abuse, neglect and other maltreatment, suspected

Non-Billable / Non-Specific Code

What is Adult and child abuse, neglect and other maltreatment, suspected?

ICD-10-CM T76 is the diagnosis code for Adult and child abuse, neglect and other maltreatment, suspected. This code falls under the section "Other and unspecified effects of external causes" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for T76

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as T76. They are mutually exclusive:

  • 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)

ICD-10-CM Code Hierarchy

Understanding where T76 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 8 entries
T76.0Neglect or abandonment, suspectedNon-BillableT76.01Adult neglect or abandonment, suspectedBillableT76.02Child neglect or abandonment, suspectedBillableT76.1Physical abuse, suspectedNon-BillableT76.11Adult physical abuse, suspectedBillableT76.12Child physical abuse, suspectedBillableT76.2Sexual abuse, suspectedNon-BillableT76.21Adult sexual abuse, suspectedBillableT76.22Child sexual abuse, suspectedBillableT76.3Psychological abuse, suspectedNon-BillableT76.31Adult psychological abuse, suspectedBillableT76.32Child psychological abuse, suspectedBillableT76.5Forced sexual exploitation, suspectedNon-BillableT76.51Adult forced sexual exploitation, suspectedBillableT76.52Child sexual exploitation, suspectedBillableT76.6Forced labor exploitation, suspectedNon-BillableT76.61Adult forced labor exploitation, suspectedBillableT76.62Child forced labor exploitation, suspectedBillableT76.9Unspecified maltreatment, suspectedNon-BillableT76.91Unspecified adult maltreatment, suspectedBillableT76.92Unspecified child maltreatment, suspectedBillableT76.AFinancial abuse, suspectedNon-BillableT76.A1Adult financial abuse, suspectedBillableT76.A2Child financial abuse, suspectedBillable
Related Codes

Frequently Asked Questions

Is T76 a billable ICD-10-CM code?

No, T76 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does T76 mean?

T76 is the ICD-10-CM diagnosis code for "Adult and child abuse, neglect and other maltreatment, suspected". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is T76 in?

T76 is located in Section T66-T78 — "Other and unspecified effects of external causes" within Chapter 19 of the ICD-10-CM Tabular List.

What are the sub-codes of T76?

T76 has 8 sub-code(s) that provide more specific detail: T76.0, T76.1, T76.2, T76.3, T76.5 and more.

When should I use T76?

Use T76 when the patients documented diagnosis matches "Adult and child abuse, neglect and other maltreatment, suspected" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Adult and child abuse, neglect and other maltreatment, suspected?

The ICD-10-CM code for Adult and child abuse, neglect and other maltreatment, suspected is T76.

Can T76 be used for primary diagnosis?

No, T76 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is T76 in?

T76 is in Chapter 19 of the ICD-10-CM Tabular List.

What conditions are excluded from T76?

Type 1 Excludes for T76 include: 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) and more.

Is T76 valid for 2026?

Yes, T76 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousT75.89Other specified effects of external causesNext →T76.0Neglect or abandonment, suspected
Code Details
T76
Adult and child abuse, neglect and other maltreatment, suspected
Non-Billable / Non-Specific Code
19 — Injury, poisoning and certain other consequences of external causes (S00-T88)
T66-T78 — Other and unspecified effects of external causes
2026 ICD-10-CM