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Compare/T76.01 vs Z91.412

T76.01 vs Z91.412

T76.01 (Adult neglect or abandonment, suspected) compared with Z91.412 (Personal history of adult neglect), 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. Z91.412 carries an Excludes1 note covering T76.01: “current adult neglect (T74.01, T76.01)”

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

T76.01Adult neglect or abandonment, suspectedZ91.412Personal history of adult neglect
Billing statusNon-billable header

Report instead: T76.01XA, T76.01XD, T76.01XS

Billable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionAdult neglect or abandonment, suspected is a non-billable ICD-10-CM category code (T76.01).Personal history of adult neglect is a billable ICD-10-CM diagnosis code (Z91.412).
7th characterThe 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

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