T76.91
Unspecified adult maltreatment, suspected
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This code does not map to a risk-adjusting HCC in the loaded models.
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
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)
code, if applicable, to identify any associated current injury
The appropriate 7th character is to be added to each code from category T76
| Character | Meaning |
|---|---|
| A | initial encounter |
| D | subsequent encounter |
| S | sequela |
, 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-)
code to identify any retained foreign body, if applicable (Z18.-)
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. (T07-T88) Injury, poisoning and certain other consequences of external causes (T07-T88) (T20-T32) Burns and corrosions (T20-T32) Includes: burns (thermal) from electrical heating appliances burns (thermal) from electricity burns (thermal) from flame burns (thermal) from friction burns (thermal) from hot air and hot gases burns (thermal) from hot objects burns (thermal) from lightning burns (thermal) from radiation chemical burn [corrosion] (external) (internal) scalds Excludes2: erythema [dermatitis] ab igne (L59.0) radiation-related disorders of the skin and subcutaneous tissue (L55-L59) sunburn (L55.-)
Official Guidelines for T76.91
FY 2026 ›Subsections
- I.C.19.aApplication of 7th Characters in Chapter 19
- I.C.19.bCoding of Injuries
- I.C.19.cCoding of Traumatic Fractures
- I.C.19.dCoding of Burns and Corrosions
- I.C.19.eAdverse Effects, Poisoning, Underdosing and Toxic Effects
- I.C.19.fAdult and child abuse, neglect and other maltreatment
- I.C.19.gComplications of care
Sections that reference T76.91
- I.C.5.cFactitious DisorderChapter 5
… MSBP, assign the appropriate code from categories T74, Adult and child abuse, neglect and other maltreatment, confirmed, or T76, Adult and child abuse, neglect and other maltreatment, suspected. …
- I.C.19.fAdult and child abuse, neglect and other maltreatment
Sequence first the appropriate code from categories T74, Adult and child abuse, neglect and other maltreatment, confirmed, or T76, Adult and child abuse, neglect and other maltreatment, suspected, for abuse, neglect and other maltreatment, followed by any …
Sections whose FY 2026 text names T76.91, its T76 category, or a range containing it — the chapter guidance above is the authoritative source.