DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

T76 Adult and child abuse, neglect and other maltreatment, suspected

  • Header · not billable
  • Codes take a 7th character

T76 is not billable. The category heads 48 billable codes in FY2027, grouped under 8 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Malnutritionlack of care, or neglect (child) (infant) → T76.02
  • Rapeadultsuspected → T76.21
  • Rapechildsuspected → T76.22

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. T66-T78 Other and unspecified effects of external causes (T66-T78)
  3. T76 Adult and child abuse, neglect and other maltreatment, suspected
Billable codes
48
Subdivisions
8
CC / MCC codes
13 / 0
HCC V28 codes
0
New FY2027
0
Index entries
32

Codes in T76

  1. T76.0
    Neglect or abandonment, suspected
    Header
  2. T76.01
    Adult neglect or abandonment, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  3. T76.02
    Child neglect or abandonment, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  4. T76.1
    Physical abuse, suspected
    Header
  5. T76.11
    Adult physical abuse, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  6. T76.12
    Child physical abuse, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  7. T76.2
    Sexual abuse, suspected
    Header
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Rape, suspected

    Excludes1

    • alleged abuse, ruled out (Z04.7) Z04.7
  8. T76.21
    Adult sexual abuse, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  9. T76.22
    Child sexual abuse, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  10. T76.3
    Psychological abuse, suspected
    Header
    Inclusion terms 5

    Inclusion terms

    • Bullying and intimidation, suspected
    • Intimidation through social media, suspected
    • Target of threatened harm, suspected
    • Target of threatened physical violence, suspected
    • Target of threatened sexual abuse, suspected
  11. T76.31
    Adult psychological abuse, suspected +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  12. T76.32
    Child psychological abuse, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  13. T76.5
    Forced sexual exploitation, suspected
    Header
  14. T76.51
    Adult forced sexual exploitation, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  15. T76.52
    Child sexual exploitation, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  16. T76.6
    Forced labor exploitation, suspected
    Header
  17. T76.61
    Adult forced labor exploitation, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  18. T76.62
    Child forced labor exploitation, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  19. T76.9
    Unspecified maltreatment, suspected
    Header
  20. T76.91
    Unspecified adult maltreatment, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  21. T76.92
    Unspecified child maltreatment, suspected +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  22. T76.A
    Financial abuse, suspected
    Header
  23. T76.A1
    Adult financial abuse, suspected +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  24. T76.A2
    Child financial abuse, suspected +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At T76

Excludes1

  • adult and child maltreatment, confirmed (T74.-) T74
  • suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-) O9A.3 O9A.4 O9A.5
  • suspected adult physical abuse, ruled out (Z04.71) Z04.71
  • suspected adult sexual abuse, ruled out (Z04.41) Z04.41
  • suspected child physical abuse, ruled out (Z04.72) Z04.72
  • suspected child sexual abuse, ruled out (Z04.42) Z04.42

Use additional code

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

Notes that also apply

Block T66-T78 instructions (Code also 6): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for T76 defined here

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

7th characters for T76
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Malnutritionlack of care, or neglect (child) (infant) → T76.02
  • Neglectadultsuspected → T76.01
  • Lack ofcareof infant (at or after birth) → T76.02
  • Neglectchild (childhood)suspected → T76.02
  • Rapeadultsuspected → T76.21
  • Rapechildsuspected → T76.22
  • Maltreatmentadultsuspected → T76.91
  • Maltreatmentchildsuspected → T76.92
  • Maltreatmentadultabandonmentsuspected → T76.01
  • Maltreatmentadultneglectsuspected → T76.01
  • Maltreatmentchildabandonmentsuspected → T76.02
  • Maltreatmentchildneglectsuspected → T76.02
  • Nutrition deficient or insufficientdue tolack ofcare (child) → T76.02
  • Maltreatmentadultphysical abusesuspected → T76.11
  • Maltreatmentchildphysical abusesuspected → T76.12
  • Maltreatmentadultsexual abusesuspected → T76.21
  • Maltreatmentchildsexual abusesuspected → T76.22
  • Maltreatmentadultbullyingsuspected → T76.31
  • Maltreatmentadultintimidation (through social media)suspected → T76.31
  • Maltreatmentadultpsychological abusesuspected → T76.31
  • Maltreatmentadultthreatened abuse (harm) (physical violence) (sexual abuse)suspected → T76.31
  • Maltreatmentchildbullyingsuspected → T76.32
  • Maltreatmentchildintimidation (through social media)suspected → T76.32
  • Maltreatmentchildpsychological abusesuspected → T76.32
  • Maltreatmentchildthreatened abuse (harm) (physical violence) (sexual abuse)suspected → T76.32
  • Exploitationsexualsuspectedadult forced → T76.51
  • Exploitationsexualsuspectedchild → T76.52
  • Exploitationlaborsuspectedadult forced → T76.61
  • Exploitationlaborsuspectedchild forced → T76.62
  • Maltreatmentadultfinancialsuspected → T76.A1
  • Maltreatmentchildfinancialsuspected → T76.A2
  • Nutrition deficient or insufficientdue tolack ofcare (child)adult → T76.01

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy