Skip to main content

O9A.5 vs T76.A1XD

O9A.5 (Psychological abuse complicating pregnancy, childbirth and the puerperium) compared with T76.A1XD (Adult financial abuse, suspected, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. T76.A1XD carries an Excludes1 note covering O9A.5: “suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

O9A.5Psychological abuse complicating pregnancy, childbirth and the puerperiumT76.A1XDAdult financial abuse, suspected, subsequent encounter
Billing statusNon-billable headerBillable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPsychological abuse complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O9A.5).Adult financial abuse, suspected, subsequent encounter is a billable ICD-10-CM diagnosis code (T76.A1D).
7th characterThe appropriate 7th character is to be added to each code from category T76
Includes
Conditions in T74.31 or T76.31
Use additional code
code to identify the perpetrator of abuse (Y07.-)
code, if applicable, to identify any associated current injury

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources