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T74 vs T76.A2XD

T74 (Adult and child abuse, neglect and other maltreatment, confirmed) compared with T76.A2XD (Child 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. T74 carries an Excludes1 note covering T76.A2XD: “adult and child maltreatment, suspected (T76.-)”

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

No — do not report together. T76.A2XD carries an Excludes1 note covering T74: “adult and child maltreatment, confirmed (T74.-)”

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

T74Adult and child abuse, neglect and other maltreatment, confirmedT76.A2XDChild financial abuse, suspected, subsequent encounter
Billing statusNon-billable header

Report instead: T74.01XA, T74.01XD, T74.01XS, T74.02XA, T74.02XD

Billable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionAdult and child abuse, neglect and other maltreatment, confirmed is a non-billable ICD-10-CM category code (T74).Child financial abuse, suspected, subsequent encounter is a billable ICD-10-CM diagnosis code (T76.A2D).
7th characterThe appropriate 7th character is to be added to each code from category T74The appropriate 7th character is to be added to each code from category T76
Use additional code
code, if applicable, to identify any associated current injury
external cause code to identify perpetrator, if known (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