ICD-10 · PDGM grouping
T76 Adult and child abuse, neglect and other maltreatment, suspected
All 48 codes in the T76 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
48
Can lead a claim
30
Cannot lead a claim
18
What CMS assigns to T76
30 of the 48 codes group to Behavioral Health; 18 are assigned no clinical group. None of the 48 is assigned a comorbidity subgroup. 30 of the 48 can lead a claim.
Every code in T76
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| T76.0 Neglect or abandonment, suspected | ||||
| T76.01 Adult neglect or abandonment, suspected | ||||
| T76.01XA | Adult neglect or abandonment, suspected, initial encounter | Can lead a claim | F | None |
| T76.01XD | Adult neglect or abandonment, suspected, subsequent encounterCMS: Adult neglect or abandonment, suspected, subs encntr | Can lead a claim | F | None |
| T76.01XS | Adult neglect or abandonment, suspected, sequela | Can lead a claim | F | None |
| T76.02 Child neglect or abandonment, suspected | ||||
| T76.02XA | Child neglect or abandonment, suspected, initial encounter | Can lead a claim | F | None |
| T76.02XD | Child neglect or abandonment, suspected, subsequent encounterCMS: Child neglect or abandonment, suspected, subs encntr | Can lead a claim | F | None |
| T76.02XS | Child neglect or abandonment, suspected, sequela | Can lead a claim | F | None |
| T76.1 Physical abuse, suspected | ||||
| T76.11 Adult physical abuse, suspected | ||||
| T76.11XA | Adult physical abuse, suspected, initial encounter | Can lead a claim | F | None |
| T76.11XD | Adult physical abuse, suspected, subsequent encounter | Can lead a claim | F | None |
| T76.11XS | Adult physical abuse, suspected, sequela | Can lead a claim | F | None |
| T76.12 Child physical abuse, suspected | ||||
| T76.12XA | Child physical abuse, suspected, initial encounter | Can lead a claim | F | None |
| T76.12XD | Child physical abuse, suspected, subsequent encounter | Can lead a claim | F | None |
| T76.12XS | Child physical abuse, suspected, sequela | Can lead a claim | F | None |
| T76.2 Sexual abuse, suspected | ||||
| T76.21 Adult sexual abuse, suspected | ||||
| T76.21XA | Adult sexual abuse, suspected, initial encounter | Can lead a claim | F | None |
| T76.21XD | Adult sexual abuse, suspected, subsequent encounter | Can lead a claim | F | None |
| T76.21XS | Adult sexual abuse, suspected, sequela | Can lead a claim | F | None |
| T76.22 Child sexual abuse, suspected | ||||
| T76.22XA | Child sexual abuse, suspected, initial encounter | Can lead a claim | F | None |
| T76.22XD | Child sexual abuse, suspected, subsequent encounter | Can lead a claim | F | None |
| T76.22XS | Child sexual abuse, suspected, sequela | Can lead a claim | F | None |
| T76.3 Psychological abuse, suspected | ||||
| T76.31 Adult psychological abuse, suspected | ||||
| T76.31XA | Adult psychological abuse, suspected, initial encounter | Can lead a claim | F | None |
| T76.31XD | Adult psychological abuse, suspected, subsequent encounter | Can lead a claim | F | None |
| T76.31XS | Adult psychological abuse, suspected, sequela | Can lead a claim | F | None |
| T76.32 Child psychological abuse, suspected | ||||
| T76.32XA | Child psychological abuse, suspected, initial encounter | Can lead a claim | F | None |
| T76.32XD | Child psychological abuse, suspected, subsequent encounter | Can lead a claim | F | None |
| T76.32XS | Child psychological abuse, suspected, sequela | Can lead a claim | F | None |
| T76.5 Forced sexual exploitation, suspected | ||||
| T76.51 Adult forced sexual exploitation, suspected | ||||
| T76.51XA | Adult forced sexual exploitation, suspected, initial encounterCMS: Adult forced sexual exploitation, suspected, init | Can lead a claim | F | None |
| T76.51XD | Adult forced sexual exploitation, suspected, subsequent encounterCMS: Adult forced sexual exploitation, suspected, subs | Can lead a claim | F | None |
| T76.51XS | Adult forced sexual exploitation, suspected, sequela | Can lead a claim | F | None |
| T76.52 Child sexual exploitation, suspected | ||||
| T76.52XA | Child sexual exploitation, suspected, initial encounter | Can lead a claim | F | None |
| T76.52XD | Child sexual exploitation, suspected, subsequent encounter | Can lead a claim | F | None |
| T76.52XS | Child sexual exploitation, suspected, sequela | Can lead a claim | F | None |
| T76.6 Forced labor exploitation, suspected | ||||
| T76.61 Adult forced labor exploitation, suspected | ||||
| T76.61XA | Adult forced labor exploitation, suspected, initial encounterCMS: Adult forced labor exploitation, suspected, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.61XD | Adult forced labor exploitation, suspected, subsequent encounterCMS: Adult forced labor exploitation, suspected, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.61XS | Adult forced labor exploitation, suspected, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.62 Child forced labor exploitation, suspected | ||||
| T76.62XA | Child forced labor exploitation, suspected, initial encounterCMS: Child forced labor exploitation, suspected, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.62XD | Child forced labor exploitation, suspected, subsequent encounterCMS: Child forced labor exploitation, suspected, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.62XS | Child forced labor exploitation, suspected, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.9 Unspecified maltreatment, suspected | ||||
| T76.91 Unspecified adult maltreatment, suspected | ||||
| T76.91XA | Unspecified adult maltreatment, suspected, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.91XD | Unspecified adult maltreatment, suspected, subsequent encounterCMS: Unspecified adult maltreatment, suspected, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.91XS | Unspecified adult maltreatment, suspected, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.92 Unspecified child maltreatment, suspected | ||||
| T76.92XA | Unspecified child maltreatment, suspected, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.92XD | Unspecified child maltreatment, suspected, subsequent encounterCMS: Unspecified child maltreatment, suspected, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.92XS | Unspecified child maltreatment, suspected, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.A Financial abuse, suspected | ||||
| T76.A1 Adult financial abuse, suspected | ||||
| T76.A1XA | Adult financial abuse, suspected, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.A1XD | Adult financial abuse, suspected, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.A1XS | Adult financial abuse, suspected, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.A2 Child financial abuse, suspected | ||||
| T76.A2XA | Child financial abuse, suspected, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.A2XD | Child financial abuse, suspected, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T76.A2XS | Child financial abuse, suspected, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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