T76UpcomingCategory · further specificity required

Adult and child abuse, neglect and other maltreatment, suspected

Code-level instructions

A — initial encounter

D — subsequent encounter

S — sequela

Code-level instructions

Use additional code

code, if applicable, to identify any associated current injury

Excludes 1

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)

Chapters 19 · Inherited instructions

Use additional code

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

T66-T78 · Inherited 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-)

Excludes 2 · 2

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

More specific codes

T76.0Neglect or abandonment, suspected T76.1Physical abuse, suspected T76.2Sexual abuse, suspected T76.3Psychological abuse, suspected T76.5Forced sexual exploitation, suspected T76.6Forced labor exploitation, suspected T76.9Unspecified maltreatment, suspected T76.AFinancial abuse, suspected

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2026 · April

ChangedUnchanged

FY2026 · April

Effective from 2026-04-01

Inherited rules changed

Adult and child abuse, neglect and other maltreatment, suspected

Category — select a more specific code

CDC/NCHS · FY2026 · April

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	Inherited rules changed
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	Inherited rules changed
FY2027	2026-10-01	No tabular change

Code-level instructions

Excludes 1

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

Seventh character

The appropriate 7th character is to be added to each code from category T76

A — initial encounter

D — subsequent encounter

S — sequela

Inherited instructions

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

Use additional code

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

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

T66-T78 · Other and unspecified effects of external causes (T66-T78)

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-)

More specific codes

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (5)

O9A.2 · Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium

Inclusion terms · Conditions in S00-T88, except T74 and T76

T74 · Adult and child abuse, neglect and other maltreatment, confirmed

Excludes 1 · adult and child maltreatment, suspected (T76.-)

Z04.71 · Encounter for examination and observation following alleged adult physical abuse

Excludes 1 · suspected case of adult physical abuse, not ruled out (T76.-)

Z04.72 · Encounter for examination and observation following alleged child physical abuse

Excludes 1 · suspected case of child physical abuse, not ruled out (T76.-)

Z63 · Other problems related to primary support group, including family circumstances

Excludes 2 · maltreatment syndrome (T74.-, T76)

T76UpcomingCategory · further specificity required

Adult and child abuse, neglect and other maltreatment, suspected

Code-level instructions

A — initial encounter

D — subsequent encounter

S — sequela

Code-level instructions

Use additional code

code, if applicable, to identify any associated current injury

Excludes 1

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)

Chapters 19 · Inherited instructions

Use additional code

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

T66-T78 · Inherited 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-)

Excludes 2 · 2

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

More specific codes

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2026 · April

ChangedUnchanged

FY2026 · April

Effective from 2026-04-01

Inherited rules changed

Adult and child abuse, neglect and other maltreatment, suspected

Category — select a more specific code

CDC/NCHS · FY2026 · April

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	Inherited rules changed
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	Inherited rules changed
FY2027	2026-10-01	No tabular change

Code-level instructions

Excludes 1

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

Seventh character

The appropriate 7th character is to be added to each code from category T76

A — initial encounter

D — subsequent encounter

S — sequela

Inherited instructions

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

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

Use additional code

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

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

T66-T78 · Other and unspecified effects of external causes (T66-T78)

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-)

More specific codes

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (5)

O9A.2 · Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium

Inclusion terms · Conditions in S00-T88, except T74 and T76

T74 · Adult and child abuse, neglect and other maltreatment, confirmed

Excludes 1 · adult and child maltreatment, suspected (T76.-)

Z04.71 · Encounter for examination and observation following alleged adult physical abuse

Excludes 1 · suspected case of adult physical abuse, not ruled out (T76.-)

Z04.72 · Encounter for examination and observation following alleged child physical abuse

Excludes 1 · suspected case of child physical abuse, not ruled out (T76.-)

Z63 · Other problems related to primary support group, including family circumstances

Excludes 2 · maltreatment syndrome (T74.-, T76)